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General NPI Number Information
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NPI Number | 1407425903
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Entity Type | Individual
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Provider Name | ALLISON M DWYER DPT
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Gender | Female
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 5460 MELTZER CT
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City | CICERO
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State | NY
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Zip | 13039-9430
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Country | US
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Telephone | 315-699-1619
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Fax |
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Provider Business Mailing Address
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Address Line | 180 HOMECROFT RD
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City | SYRACUSE
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State | NY
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Zip | 13206-3039
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Country | US
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Telephone | 315-380-6360
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PENDING
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License Number State | NY
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