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General NPI Number Information
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NPI Number | 1497867352
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Entity Type | Individual
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Provider Name | JOSEPH SCOTT ALLISON OD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 3811 SAGEBRIAR DR
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City | BRYAN
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State | TX
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Zip | 77802-6107
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Country | US
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Telephone | 979-774-0498
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 CHIPPENDALE ST
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City | COLLEGE STATION
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State | TX
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Zip | 77845-5581
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Country | US
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Telephone | 979-764-1527
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 03111TG
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License Number State | TX
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