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General NPI Number Information
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NPI Number | 1164522694
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Entity Type | Individual
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Provider Name | AUDREY S ALLEYNE MD
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Gender | Female
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 2669 KINARD ST
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City | NEWBERRY
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State | SC
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Zip | 29108-2911
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Country | US
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Telephone | 803-276-7570
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Fax |
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Provider Business Mailing Address
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Address Line | 3824 HONORS WAY
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City | MARTINEZ
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State | GA
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Zip | 30907-9146
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Country | US
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Telephone | 706-267-5170
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Fax | 706-863-1148
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 039479
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License Number State | GA
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