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General NPI Number Information
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NPI Number | 1952522146
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Entity Type | Individual
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Provider Name | ALLISON HARRISON MSPT
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 10130 S 222ND ST
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City | GRETNA
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State | NE
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Zip | 68028-4317
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Country | US
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Telephone | 402-359-8830
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Fax |
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Provider Business Mailing Address
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Address Line | 6311 S 178TH ST
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City | OMAHA
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State | NE
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Zip | 68135-3007
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Country | US
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Telephone | 402-715-5869
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3158
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License Number State | NE
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