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General NPI Number Information
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NPI Number | 1922586767
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Entity Type | Individual
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Provider Name | ALLISON ADALE EAVEY
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Gender | Female
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 2751 O'VARSITY WAY SUITE 265
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City | CINCINNATI
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State | OH
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Zip | 45221-2117
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Country | US
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Telephone | 513-556-4352
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Fax |
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Provider Business Mailing Address
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Address Line | 900 N JOHN R WOODEN DR
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City | WEST LAFAYETTE
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State | IN
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Zip | 47907-2117
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT006996
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT021061
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License Number State |
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