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General NPI Number Information
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NPI Number | 1982040648
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Entity Type | Organization
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Legal Business Name | VANALLEN & ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 1102 N WILLOW AVE
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City | TAMPA
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State | FL
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Zip | 33607-5552
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Country | US
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Telephone | 813-258-6231
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Fax | 813-258-6232
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Provider Business Mailing Address
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Address Line | 1102 N WILLOW AVE
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City | TAMPA
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State | FL
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Zip | 33607-5552
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Country | US
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Telephone | 813-258-6231
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Fax | 813-258-6232
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LINDA VANALLEN EVANS
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Credential | RD, LD
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Telephone | 813-258-6231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | ND1732
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License Number State | FL
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