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General NPI Number Information
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NPI Number | 1295283760
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Entity Type | Individual
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Provider Name | ALYSSA REED CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 680 BLAIR MILL ROAD
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City | HORSHAM
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State | PA
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Zip | 19044
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Country | US
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Telephone | 267-634-0097
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Fax |
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Provider Business Mailing Address
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Address Line | 887 N HALSTEAD ST
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City | ALLENTOWN
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State | PA
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Zip | 18109-1840
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Country | US
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Telephone | 484-557-3103
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP016280
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License Number State | PA
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