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General NPI Number Information
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NPI Number | 1992679955
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Entity Type | Individual
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Provider Name | ALYSSA ZIMMERMANN PA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 800 RIVERSIDE DR
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City | WAUPACA
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State | WI
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Zip | 54981-1943
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Country | US
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Telephone | 715-258-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1444 PLEASANT DR APT 5
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City | PLOVER
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State | WI
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Zip | 54467-9136
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Country | US
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Telephone | 651-262-8297
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 866123
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License Number State | WI
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