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General NPI Number Information
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NPI Number | 1679641765
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Entity Type | Individual
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Provider Name | ALLISON ESTES MU M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-916-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN:MCHK-QS
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City | TRIPLER AMC
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State | HI
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Zip | 96859-5001
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Country | US
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Telephone | 808-433-2460
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Fax | 808-433-1558
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | P4085
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License Number State | TX
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