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General NPI Number Information
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NPI Number | 1871174011
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Entity Type | Individual
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Provider Name | ALLISON SICKORA AU.D
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1401 E. 10TH STREET
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City | ALAMAGORDO
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State | NM
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Zip | 88310
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Country | US
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Telephone | 575-437-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 4805 PLEASONTON RD
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City | FORT BLISS
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State | TX
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Zip | 79906-3830
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Country | US
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Telephone | 610-741-9904
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD7349
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License Number State | NM
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