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General NPI Number Information
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NPI Number | 1780875575
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Entity Type | Individual
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Provider Name | ALLISON LYNN BEARDEN MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1240 N MISSION RD WCH L902
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City | LOS ANGELES
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State | CA
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Zip | 90033-1019
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Country | US
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Telephone | 323-226-3691
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 MARENGO STREET HRA 300 MC 9264
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City | LOS ANGELES
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State | CA
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Zip | 90089-9300
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Country | US
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Telephone | 323-865-1575
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Fax | 323-224-5013
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A94892
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License Number State | CA
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