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General NPI Number Information
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NPI Number | 1073860649
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Entity Type | Individual
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Provider Name | HAYLEY M ALLISON PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 909 CUSHMAN ST STE 205
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City | FAIRBANKS
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State | AK
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Zip | 99701-4668
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Country | US
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Telephone | 907-378-0139
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Fax | 877-645-2882
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Provider Business Mailing Address
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Address Line | PO BOX 70253
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City | FAIRBANKS
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State | AK
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Zip | 99707-0253
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Country | US
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Telephone | 907-378-0139
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Fax | 877-645-2882
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 636
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 636
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License Number State | AK
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