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General NPI Number Information
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NPI Number | 1578895157
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Entity Type | Organization
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Legal Business Name | ALISON J. WILSON, PH.D.
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 67 INVERNESS DRIVE. EAST
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 720-383-0869
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Fax |
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Provider Business Mailing Address
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Address Line | 56 INVERNESS DR E
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5129
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Country | US
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Telephone | 720-383-0869
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | ALISON WILSON
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Credential |
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Telephone | 720-383-0869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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