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General NPI Number Information
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NPI Number | 1104349596
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Entity Type | Individual
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Provider Name | ALLISON DEAN CLARKE DPT
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 424 LEWIS HARGETT CIR STE B100
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City | LEXINGTON
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State | KY
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Zip | 40503-3683
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Country | US
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Telephone | 859-475-4305
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Fax |
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Provider Business Mailing Address
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Address Line | 4225 VICTORIA WAY
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City | LEXINGTON
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State | KY
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Zip | 40515-4822
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Country | US
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Telephone | 859-537-7577
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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 | 00736
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT6263
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License Number State | MS
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