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General NPI Number Information
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NPI Number | 1396565826
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Entity Type | Individual
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Provider Name | ALYSSA RICE MCPHERSON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 3801 MIRANDA AVE
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City | PALO ALTO
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State | CA
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Zip | 94304-1207
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Country | US
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Telephone | 831-884-1177
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Fax |
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Provider Business Mailing Address
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Address Line | 636B GRAND AVE
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City | LEONIA
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State | NJ
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Zip | 07605-3113
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Country | US
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Telephone | 845-532-2824
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT6922
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License Number State | ME
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