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General NPI Number Information
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NPI Number | 1558483834
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Entity Type | Individual
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Provider Name | ALLISON LEIGH PRABHAKAR RN, MSN, APN-C
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 770 NEWTOWN YARDLEY RD SUITE 220A
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City | NEWTOWN
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State | PA
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Zip | 18940-4501
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Country | US
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Telephone | 215-968-4804
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Fax | 415-968-4759
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Provider Business Mailing Address
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Address Line | 770 NEWTOWN YARDLEY RD SUITE 220A
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City | NEWTOWN
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State | PA
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Zip | 18940-4501
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Country | US
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Telephone | 215-968-4804
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Fax | 415-968-4759
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00122500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP 19450
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP009987
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License Number State | PA
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