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General NPI Number Information
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NPI Number | 1073058194
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Entity Type | Individual
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Provider Name | ALEXANDER ROSS ALLEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2016
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 126 STATE ST
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City | HOLMEN
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State | WI
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Zip | 54636-9508
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Country | US
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Telephone | 608-526-4628
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 BROADWAY ST N
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City | MENOMONIE
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State | WI
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Zip | 54751-4707
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Country | US
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Telephone | 715-231-4994
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5232 - 12
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License Number State | WI
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