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General NPI Number Information
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NPI Number | 1558246504
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Entity Type | Individual
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Provider Name | ALISON GORDIN
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Gender | Female
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 200 MONTGOMERY HWY STE 150
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-1898
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Country | US
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Telephone | 205-822-0067
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Fax |
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Provider Business Mailing Address
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Address Line | 26 OLD TOWN LN
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City | HALESITE
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State | NY
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Zip | 11743-2215
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Country | US
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Telephone | 631-678-7713
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH12433
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License Number State | AL
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