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Individual
ALLEN NORD
Active
Individual
ALLEN NORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2528
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008011
BCBS
SD
01
—
080169993
RR MEDICARE
SD
05
—
5600576
—
SD
Enumeration date
06/08/2006
Last updated
10/01/2013
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