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General NPI Number Information
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NPI Number | 1871793034
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Entity Type | Organization
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Legal Business Name | E. ALLEN SCHLIES MD, INC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 2324 SANTA RITA RD SUITE #10
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City | PLEASANTON
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State | CA
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Zip | 94566-4152
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Country | US
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Telephone | 925-462-6441
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Fax | 925-426-6851
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Provider Business Mailing Address
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Address Line | 2324 SANTA RITA RD SUITE #10
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City | PLEASANTON
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State | CA
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Zip | 94566-4152
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Country | US
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Telephone | 925-462-6441
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Fax | 925-426-6851
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Authorized Official
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Title or Position | CEO
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Name | DR. E. ALLEN SCHLIES
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Credential | MD
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Telephone | 925-462-6441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 27896
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 15027
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | G33839
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License Number State | CA
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