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General NPI Number Information
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NPI Number | 1720752058
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Entity Type | Individual
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Provider Name | ALLISON CHRISTINE HURLBUT DDS
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 5611 NW 1ST ST STE 108
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City | LINCOLN
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State | NE
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Zip | 68521-4466
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Country | US
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Telephone | 402-438-5588
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Fax | 402-438-5715
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Provider Business Mailing Address
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Address Line | 17455 PRAIRIE VISTA DR
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City | ROCA
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State | NE
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Zip | 68430
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Country | US
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Telephone | 402-499-5279
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7729
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License Number State | NE
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