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General NPI Number Information
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NPI Number | 1215108063
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Entity Type | Individual
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Provider Name | ALLISON ELIZABETH CREPEAU M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 399 FARMINGTON AVE STE 300
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City | FARMINGTON
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State | CT
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Zip | 06032-1979
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Country | US
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Telephone | 860-837-9220
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Fax | 860-837-9221
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Provider Business Mailing Address
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Address Line | PO BOX 741593
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City | ATLANTA
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State | GA
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Zip | 30374-1593
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Country | US
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Telephone | 757-668-8544
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Fax | 757-668-6544
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101251650
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 63691
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License Number State | CT
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