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General NPI Number Information
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NPI Number | 1457027724
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Entity Type | Individual
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Provider Name | ALISHIA ZYER PA
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 335 BRIGHTON AVE STE 200
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City | PORTLAND
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State | ME
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Zip | 04102-2362
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Country | US
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Telephone | 207-662-8600
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Fax | 207-662-8668
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Provider Business Mailing Address
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Address Line | 335 BRIGHTON AVE STE 200
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City | PORTLAND
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State | ME
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Zip | 04102-2362
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Country | US
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Telephone | 207-662-8600
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Fax | 207-662-8668
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01351
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2286
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA2286
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License Number State | ME
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