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General NPI Number Information
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NPI Number | 1982299509
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Entity Type | Individual
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Provider Name | ALLISON CLAIRE ZIMMERMAN
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Gender | Female
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 130 CORPORATE DRIVE
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City | BEAVER DAM
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State | WI
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Zip | 53916-3116
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Country | US
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Telephone | 920-887-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 311 S COLUMBUS ST
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City | RANDOLPH
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State | WI
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Zip | 53956-1413
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Country | US
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Telephone | 920-326-9098
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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 | 6928-26
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License Number State | WI
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