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General NPI Number Information
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NPI Number | 1225292840
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Entity Type | Individual
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Provider Name | ALLISON L O'BRIEN DMD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2008
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 8936 77TH TER E UNIT 103
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-6419
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Country | US
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Telephone | 941-373-3904
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Fax | 941-907-0565
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Provider Business Mailing Address
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Address Line | 8936 77TH TER E UNIT 103
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-6419
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Country | US
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Telephone | 941-373-3904
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Fax | 941-907-0565
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 18536
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License Number State | FL
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