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General NPI Number Information
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NPI Number | 1649060872
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Entity Type | Individual
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Provider Name | ALLISON HARVEY MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1725 STATE ST
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City | LA CROSSE
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State | WI
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Zip | 54601-3742
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Country | US
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Telephone | 901-843-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 455 CENTURY PL APT 215
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City | ONALASKA
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State | WI
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Zip | 54650-1111
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Country | US
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Telephone | 715-579-0971
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 3110
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 3281-39
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License Number State | WI
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