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General NPI Number Information
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NPI Number | 1083144414
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Entity Type | Individual
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Provider Name | ALLISON HYATT
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Gender | Female
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 1364 CLIFTON ROAD
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City | ATLANTA
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State | GA
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Zip | 30332-6358
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Country | US
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Telephone | 404-778-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 1443 BEACON ST APT 409
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City | BROOKLINE
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State | MA
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Zip | 02446-4710
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Country | US
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Telephone | 410-916-0301
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 272027
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 272027
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 272027
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 272027
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License Number State | MA
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