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General NPI Number Information
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NPI Number | 1730995705
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Entity Type | Individual
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Provider Name | ALLYSON O'CONNELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 2112 N FRANKLIN DR STE 2
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City | WASHINGTON
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State | PA
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Zip | 15301-5874
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Country | US
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Telephone | 724-223-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 31 FARMCREST DR
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City | CECIL
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State | PA
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Zip | 15321-1153
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Country | US
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Telephone | 724-987-3830
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP031410
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License Number State | PA
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