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General NPI Number Information
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NPI Number | 1942992201
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Entity Type | Individual
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Provider Name | ALLYSSA TOWERY MSW
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Gender | Female
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 170 MEDICAL PARK RD STE 208
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City | MOORESVILLE
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State | NC
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Zip | 28117-8541
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Country | US
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Telephone | 704-237-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N CHURCH ST APT 406
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City | MOORESVILLE
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State | NC
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Zip | 28115-2869
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Country | US
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Telephone | 423-315-1991
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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