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General NPI Number Information
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NPI Number | 1891518171
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Entity Type | Individual
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Provider Name | ALYSON LYNN SPILLER CNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 2141 N FAIRFIELD RD STE 125
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City | BEAVERCREEK
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State | OH
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Zip | 45431-2578
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Country | US
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Telephone | 937-458-0085
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Fax |
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Provider Business Mailing Address
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Address Line | 1479 CAMERON DR
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City | FAIRBORN
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State | OH
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Zip | 45324-8547
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Country | US
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Telephone | 937-478-9219
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.0037331
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0037331
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License Number State | OH
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