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General NPI Number Information
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NPI Number | 1861586513
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Entity Type | Individual
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Provider Name | DAVID JUDD ALLEN DMD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 111 PARK PLACE DR STE F
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City | HUNTSVILLE
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State | AL
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Zip | 35806-4252
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Country | US
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Telephone | 256-489-1431
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Fax | 256-403-2496
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Provider Business Mailing Address
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Address Line | 21 CHALKSTONE ST NW
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City | HUNTSVILLE
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State | AL
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Zip | 35806
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Country | US
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Telephone | 601-594-6661
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2163-85
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8976
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5665
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License Number State | AL
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