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General NPI Number Information
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NPI Number | 1427523943
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Entity Type | Individual
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Provider Name | CARRIE LYNN ALLISON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 1501 SAN PEDRO DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-5153
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Country | US
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Telephone | 505-265-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 3804 CAMINO DE LA SIERRA NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-4304
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Country | US
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Telephone | 505-321-9134
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 54232
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License Number State | NM
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