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General NPI Number Information
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NPI Number | 1508387184
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Entity Type | Individual
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Provider Name | ALLISON PAIGE BLANKENSHIP PHD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2017
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1725 CAPITAL CIRCLE NE SUITE 206
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City | TALLAHASSEE
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State | FL
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Zip | 32308
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Country | US
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Telephone | 850-404-9432
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Fax | 916-734-4150
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Provider Business Mailing Address
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Address Line | 1725 CAPITAL CIRCLE NE SUITE 206
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City | TALLAHASSEE
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State | FL
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Zip | 32308
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Country | US
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Telephone | 850-404-9432
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Fax | 916-734-4150
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY10810
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License Number State | FL
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