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General NPI Number Information
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NPI Number | 1033432372
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Entity Type | Individual
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Provider Name | ALLISON MILLER DESHOTEL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 539 E PRUDHOMME ST
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City | OPELOUSAS
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State | LA
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Zip | 70570-6499
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Country | US
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Telephone | 337-407-4541
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Fax | 337-407-4542
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Provider Business Mailing Address
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Address Line | 2512 S IH 35 STE 310
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City | AUSTIN
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State | TX
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Zip | 78704-5758
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Country | US
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Telephone | 512-900-5844
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Fax | 512-904-7575
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP138279
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP06056
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License Number State | LA
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