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General NPI Number Information
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NPI Number | 1164166252
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Entity Type | Individual
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Provider Name | CAROLINE ROSE MCALLISTER MD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 96 KISH RD
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City | REEDSVILLE
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State | PA
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Zip | 17084-8943
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Country | US
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Telephone | 717-667-7720
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Fax | 717-667-7245
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Provider Business Mailing Address
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Address Line | 155 WELLNESS WAY
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City | STATE COLLEGE
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State | PA
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Zip | 16803-6797
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Country | US
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Telephone | 814-231-7000
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Fax | 814-231-7098
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD490181
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License Number State | PA
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