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General NPI Number Information
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NPI Number | 1346402583
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Entity Type | Individual
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Provider Name | ALLISON RENEE CARILLI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 5201 RAYMOND ST
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City | ORLANDO
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State | FL
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Zip | 32803-8208
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Country | US
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Telephone | 321-397-6916
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Fax | 407-599-1393
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Provider Business Mailing Address
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Address Line | 412 MICKLETON LOOP
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City | OCOEE
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State | FL
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Zip | 34761-5659
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Country | US
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Telephone | 407-242-2833
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | TRN12444
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TRN12444
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME 120063
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License Number State | FL
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