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General NPI Number Information
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NPI Number | 1083731020
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Entity Type | Organization
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Legal Business Name | NEIL W MCALLISTER OD PC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 6160 TUTT BLVD SUITE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3500
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Country | US
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Telephone | 719-598-5068
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Fax | 719-694-2266
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Provider Business Mailing Address
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Address Line | 6160 TUTT BLVD SUITE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3500
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Country | US
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Telephone | 719-598-5068
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Fax | 719-598-5068
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | NEIL WILFORD MCALLISTER
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Credential | OD
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Telephone | 719-598-5068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1407
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License Number State | CO
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