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General NPI Number Information
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NPI Number | 1295316453
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Entity Type | Individual
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Provider Name | ALLISON MARIE AIKEN PTA
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 1120 DUNAWAY ST
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City | MIAMISBURG
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State | OH
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Zip | 45342-3839
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Country | US
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Telephone | 937-247-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 35 S SAINT CLAIR ST APT 322
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City | DAYTON
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State | OH
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Zip | 45402-2167
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Country | US
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Telephone | 937-231-4449
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 011445
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 30930
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License Number State | FL
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