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General NPI Number Information
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NPI Number | 1134555477
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Entity Type | Individual
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Provider Name | RUSSELL PATRICK ALLARD MA
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Gender | Male
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 19409 PLANTATION RD UNIT 4
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4493
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Country | US
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Telephone | 302-878-1262
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N 17TH AVE
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City | GREELEY
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State | CO
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Zip | 80631-9584
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Country | US
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Telephone | 970-347-2120
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Fax | 970-300-3133
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CD-0010167
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0011858
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License Number State | DE
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