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NPI Code Detail

MEDICARE: ROBERT ALEXANDER ALLEN

MEDICARE:   ROBERT ALEXANDER ALLEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1891459061
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ALEXANDER ALLEN
Provider Business Mailing Address
First Line : 1100 ABBOT RD PIER 18S
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23459-8405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 ABBOT RD PIER 18S
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23459-8405
Country : US
Telephone Number : 210-929-8949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2021
Last Update Date : 10/25/2021

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Directions to “ ROBERT ALEXANDER ALLEN ” Practice Location

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