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General NPI Number Information
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NPI Number | 1598909889
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Entity Type | Individual
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Provider Name | ALLISON M WYMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2919 W SWANN AVE STE 404
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City | TAMPA
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State | FL
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Zip | 33609-4052
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Country | US
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Telephone | 813-773-0579
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Fax | 941-253-3401
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Provider Business Mailing Address
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Address Line | 2410 NORTHSIDE DR
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City | CLEARWATER
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State | FL
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Zip | 33761-2236
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Country | US
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Telephone | 727-499-0351
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Fax | 727-781-3312
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | ME115925
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License Number State | FL
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