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General NPI Number Information
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NPI Number | 1538631288
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Entity Type | Individual
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Provider Name | ALLISON COLTISOR AU.D., F-AAA
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Gender | Female
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1247 CENTRAL AVE RM 220
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City | LOS ALAMOS
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State | NM
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Zip | 87544-3256
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Country | US
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Telephone | 505-390-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 CENTRAL AVE RM 220
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City | LOS ALAMOS
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State | NM
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Zip | 87544-3256
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Country | US
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Telephone | 505-390-6995
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU3313
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AUD7895
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1922
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License Number State | TN
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