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General NPI Number Information
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NPI Number | 1487081816
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Entity Type | Individual
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Provider Name | ALLISON TREFRY SCOFIELD
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Gender | Female
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 25170 HANCOCK AVE # MC6043
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City | MURRIETA
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State | CA
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Zip | 92562-5969
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Country | US
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Telephone | 588-576-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 130 PARKER ST
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City | LAWRENCE
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State | MA
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Zip | 01843-1556
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Country | US
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Telephone |
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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