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General NPI Number Information
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NPI Number | 1487543856
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Entity Type | Individual
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Provider Name | ALISON YOUNG WILSON DDS
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 305 GRAHAM ST
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City | FORDYCE
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State | AR
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Zip | 71742-3230
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Country | US
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Telephone | 870-352-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 8790 HIGHWAY 35 N
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City | RISON
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State | AR
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Zip | 71665-9200
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Country | US
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Telephone | 870-443-1229
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4870
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License Number State | AR
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