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General NPI Number Information
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NPI Number | 1215202072
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Entity Type | Individual
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Provider Name | ALISON TURQUOISE IRWIN CMT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 57475 29 PALMS HWY SUITE 101
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2906
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Country | US
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Telephone | 760-365-9878
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Fax | 206-309-0387
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Provider Business Mailing Address
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Address Line | 57475 29 PALMS HWY SUITE 101
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2906
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Country | US
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Telephone | 760-365-9878
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Fax | 206-309-0387
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 13180
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License Number State | CA
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