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General NPI Number Information
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NPI Number | 1386493393
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Entity Type | Individual
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Provider Name | ALYSSE ELIZABETH PAPIC ZELLNER MA
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Gender | Female
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Dates
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Enumeration Date | 05/14/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 135 SIMS ST STE 202
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City | DICKINSON
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State | ND
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Zip | 58601-5148
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Country | US
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Telephone | 701-380-7057
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Fax |
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Provider Business Mailing Address
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Address Line | 1521 13TH ST W
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City | DICKINSON
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State | ND
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Zip | 58601-3549
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Country | US
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Telephone | 701-690-2760
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 140412124A
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License Number State | ND
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