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General NPI Number Information
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NPI Number | 1912213778
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Entity Type | Organization
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Legal Business Name | ALLISON READINGER MD PA
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 800 8TH AVE STE 326
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City | FORT WORTH
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State | TX
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Zip | 76104-2602
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Country | US
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Telephone | 817-885-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 800 8TH AVE STE 326
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City | FORT WORTH
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State | TX
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Zip | 76104-2602
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Country | US
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Telephone | 817-885-8222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLISON BECKWORTH READINGER
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Credential | M.D.
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Telephone | 817-885-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | M4467
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License Number State | TX
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