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General NPI Number Information
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NPI Number | 1871343574
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Entity Type | Individual
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Provider Name | ALISON WILCINSKI LAC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 1741 COLLEGE RD
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City | FAIRBANKS
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State | AK
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Zip | 99709-4176
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Country | US
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Telephone | 907-456-4521
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Fax |
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Provider Business Mailing Address
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Address Line | 10546 IRVING CT
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City | WESTMINSTER
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State | CO
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Zip | 80031-2239
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Country | US
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Telephone | 720-217-3622
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 221536
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License Number State | AK
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