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General NPI Number Information
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NPI Number | 1154685675
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Entity Type | Individual
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Provider Name | ALLISON SYKLAWER TUTWILER DMD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 4651 W ANDREW JOHNSON HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-1039
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Country | US
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Telephone | 423-621-8420
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 532
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City | MORRISTOWN
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State | TN
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Zip | 37815-0532
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Country | US
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Telephone | 423-621-8420
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS0000010920
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License Number State | TN
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