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General NPI Number Information
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NPI Number | 1861475337
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Entity Type | Individual
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Provider Name | ALAN MARKIE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 898 N FAIR OAKS AVE STE G
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City | PASADENA
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State | CA
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Zip | 91103-3068
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Country | US
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Telephone | 310-201-0757
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Fax |
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Provider Business Mailing Address
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Address Line | 466 FOOTHILL BLVD #391
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City | LA CANADA
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State | CA
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Zip | 91011-3518
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Country | US
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Telephone | 310-201-0757
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Fax | 310-601-1800
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A53423
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License Number State | CA
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