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General NPI Number Information
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NPI Number | 1063297786
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Entity Type | Individual
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Provider Name | ALYSSA CLIFFORD PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 58 NEITZ RD
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City | NORTHUMBERLAND
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State | PA
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Zip | 17857-9608
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Country | US
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Telephone | 836-657-0473
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CO OP CT APT 302
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City | DANVILLE
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State | PA
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Zip | 17821-2199
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Country | US
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Telephone | 315-854-2366
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT031710
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License Number State | PA
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