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General NPI Number Information
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NPI Number | 1720815103
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Entity Type | Individual
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Provider Name | ALLISON SHARON KUO PA
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 945 STOCKTON DR UNIT 6100
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City | ALLEN
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State | TX
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Zip | 75013-6158
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Country | US
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Telephone | 972-390-7667
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Fax |
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Provider Business Mailing Address
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Address Line | 520 KOMRON CT
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City | PROSPER
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State | TX
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Zip | 75078-9413
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Country | US
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Telephone | 818-294-6262
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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 | PA18257
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA18257
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License Number State | TX
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