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General NPI Number Information
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NPI Number | 1952943532
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Entity Type | Individual
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Provider Name | ALLYSON MACKINNON APRN
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Gender | Female
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 625 E LIBERTY ST STE 10
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City | ANN ARBOR
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State | MI
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Zip | 48104-2055
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Country | US
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Telephone | 734-210-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 E 300 S
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City | ALBION
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State | IN
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Zip | 46701-9147
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Country | US
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Telephone | 260-466-4392
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71009490A
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License Number State | IN
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