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General NPI Number Information
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NPI Number | 1851009203
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Entity Type | Individual
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Provider Name | ALLISON ANN TRISKETT PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 4265 N CYPRESS LN
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City | BLOOMINGTON
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State | IN
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Zip | 47404-8506
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Country | US
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Telephone | 812-727-0047
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Fax | 812-727-0123
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone | 866-370-8206
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Fax | 517-435-3670
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT020173
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License Number State | OH
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