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General NPI Number Information
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NPI Number | 1134398365
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Entity Type | Individual
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Provider Name | KENNETH S ALLISON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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Fax | 720-874-4462
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Provider Business Mailing Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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Fax | 720-874-4462
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 234771
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 53456
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 27766
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 04-37111
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 54275
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R1162
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD15618
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License Number State | HI
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