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General NPI Number Information
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NPI Number | 1871958256
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Entity Type | Individual
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Provider Name | ALLISON SISSONS PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 33 BLEEKER ST
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City | MILLBURN
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State | NJ
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Zip | 07041-1459
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Country | US
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Telephone | 215-292-3081
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Fax |
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Provider Business Mailing Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone |
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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 | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 25MP00722100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 022129
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA059046
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00722100
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00722100
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License Number State | NJ
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