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General NPI Number Information
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NPI Number | 1497649370
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Entity Type | Individual
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Provider Name | INDYA ELYSE ALLISON
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2801 25TH AVE
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City | OAKLAND
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State | CA
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Zip | 94601-1333
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Country | US
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Telephone | 510-833-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 ARNOLD RD STE 104
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City | DUBLIN
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State | CA
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Zip | 94568-7726
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Country | US
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Telephone | 925-266-8023
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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