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General NPI Number Information
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NPI Number | 1790029338
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Entity Type | Individual
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Provider Name | ALLISON N GILSON PH.D., LP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 44050 CANDLEWOOD DR
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City | CANTON
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State | MI
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Zip | 48187-1904
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Country | US
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Telephone | 734-472-2705
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Fax | 734-666-3873
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Provider Business Mailing Address
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Address Line | 8834 E 34 RD # 131 SMB 14146
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City | CADILLAC
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State | MI
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Zip | 49601-9580
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Country | US
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Telephone | 734-472-2705
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Fax | 734-666-3873
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2012039121
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License Number State | MO
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