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General NPI Number Information
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NPI Number | 1932174802
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Entity Type | Individual
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Provider Name | ALLISON S COWL MD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 282 WASHINGTON ST
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City | HARTFORD
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State | CT
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Zip | 06106-3322
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Country | US
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Telephone | 860-545-8737
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Fax | 860-545-9800
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Provider Business Mailing Address
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Address Line | 79 DUGWAY RD
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City | PETERSHAM
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State | MA
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Zip | 01366-9725
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Country | US
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Telephone | 978-724-0214
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 220608
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 220608
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License Number State | MA
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