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General NPI Number Information
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NPI Number | 1720400260
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Entity Type | Individual
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Provider Name | ALLISON J THORNE LPN
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Gender | Female
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 13525 117TH ST
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-3620
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Country | US
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Telephone | 347-510-5202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200812
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-0812
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Country | US
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Telephone | 347-510-5202
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 10-309247
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License Number State | NY
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