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General NPI Number Information
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NPI Number | 1972200400
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Entity Type | Individual
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Provider Name | ALLISON PLUNKETT OT
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Gender | Female
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 700 HIGH ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2565
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Country | US
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Telephone | 505-242-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 655 S WILLOW ST STE 128
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City | MANCHESTER
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State | NH
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Zip | 03103-5723
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 010751
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 8664
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 22045
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License Number State | NM
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