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General NPI Number Information
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NPI Number | 1891650966
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Entity Type | Individual
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Provider Name | ALLISON FITZGERALD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 10 LINCOLN ST
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City | WORCESTER
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State | MA
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Zip | 01609
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Country | US
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Telephone | 616-732-2850
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Fax |
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Provider Business Mailing Address
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Address Line | 5824 GOLDEN HOLLOW DR
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City | GRAND RAPIDS
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State | MI
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Zip | 49512-9664
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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