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NPI Code Detail

MEDICARE: ALISON RUSSELL

MEDICARE: ALISON RUSSELL
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
1235Z00000XSpeech-Language PathologistSP.9914OH

General Provider Information

NPI Number : 1053736926
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON RUSSELL
Provider Business Mailing Address
First Line : 775 RATHMELL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-4737
Country : US
Telephone Number : 614-491-8044
Fax Number :
Provider Business Practice Location Address
First Line : 775 RATHMELL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-4737
Country : US
Telephone Number : 614-491-8044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2014
Last Update Date : 02/28/2014

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Directions to “ ALISON RUSSELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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