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General NPI Number Information
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NPI Number | 1851101653
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Entity Type | Individual
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Provider Name | ALIA JANE ALLAN
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 402 E 2ND ST
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City | DULUTH
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State | MN
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Zip | 55805-1906
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Country | US
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Telephone | 218-786-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2318 ROSLYN AVE
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City | DULUTH
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State | MN
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Zip | 55803-2330
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Country | US
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Telephone | 715-209-0904
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 2463279
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License Number State | MN
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