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General NPI Number Information
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NPI Number | 1174779839
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Entity Type | Individual
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Provider Name | ALISON RICKEY TRUMPORE M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 300 PELL AVE STE B
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-1182
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Country | US
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Telephone | 540-484-1456
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Fax |
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Provider Business Mailing Address
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Address Line | 806 WASENA AVE SW APT 319
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City | ROANOKE
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State | VA
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Zip | 24015-5353
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Country | US
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Telephone | 202-929-9792
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202008966
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License Number State | VA
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