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General NPI Number Information
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NPI Number | 1205512951
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Entity Type | Individual
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Provider Name | ALLISSA TAYLOR FLYNN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 5055 A ST STE 300
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City | LINCOLN
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State | NE
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Zip | 68510-4970
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Country | US
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Telephone | 402-488-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 5055 A ST STE 300
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City | LINCOLN
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State | NE
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Zip | 68510-4970
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Country | US
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Telephone | 402-488-5600
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3218
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License Number State | NE
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