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General NPI Number Information
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NPI Number | 1215053525
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Entity Type | Individual
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Provider Name | ALLISON W KILCOYNE NP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 300 BRICKSTONE SQ
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City | ANDOVER
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State | MA
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Zip | 01810-1492
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Country | US
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Telephone | 617-665-7171
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 526
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City | LYNN
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State | MA
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Zip | 01903
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Country | US
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Telephone | 781-596-2502
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Fax | 781-596-3966
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 206059
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 206059
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License Number State | MA
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