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General NPI Number Information
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NPI Number | 1558786129
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Entity Type | Individual
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Provider Name | ALLISON WILSON NP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 1144 LOCUST ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6734
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Country | US
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Telephone | 267-703-4718
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Fax | 267-703-4718
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Provider Business Mailing Address
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Address Line | 1144 LOCUST ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6734
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Country | US
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Telephone | 267-703-4718
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Fax | 267-703-4718
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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 | 8808
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP026991
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 338563
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License Number State | NY
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