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General NPI Number Information
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NPI Number | 1598693590
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Entity Type | Individual
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Provider Name | TRAVIS ALLEN FILLION NR-P
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Gender | Male
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | BYARS HEALTH CLINIC WOMACK ARMY MEDICAL CENTER 2864 WOODRUFF STREET
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City | FORT BRAGG
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-964-4864
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Fax |
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Provider Business Mailing Address
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Address Line | 182 FALLS CREEK DR
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City | SPRING LAKE
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State | NC
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Zip | 28390-4606
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Country | US
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Telephone | 910-964-4864
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | P563610
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License Number State | NC
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