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General NPI Number Information
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NPI Number | 1619769312
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Entity Type | Individual
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Provider Name | ALLYSON KAY NELSON PA
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 14181 BUSINESS CENTER DR NW
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City | ELK RIVER
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State | MN
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Zip | 55330-4654
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Country | US
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Telephone | 763-236-0500
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Fax |
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Provider Business Mailing Address
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Address Line | S2890 MELBY LN
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City | WESTBY
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State | WI
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Zip | 54667-8326
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Country | US
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Telephone | 608-632-7340
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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