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General NPI Number Information
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NPI Number | 1770964769
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Entity Type | Individual
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Provider Name | ALLISON MCKIMM M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 3120 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-3091
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Country | US
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Telephone | 513-558-6663
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Fax | 513-584-3684
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Provider Business Mailing Address
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Address Line | 530 DUDLEY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-2519
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Country | US
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Telephone | 513-884-3292
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.146557
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD471400
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License Number State | PA
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