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General NPI Number Information
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NPI Number | 1992936397
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Entity Type | Organization
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Legal Business Name | ALLISON CONSULTING AND TESTING LLC
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 405 W 4TH S
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City | REXBURG
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State | ID
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Zip | 83440-2318
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Country | US
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Telephone | 208-541-8378
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Fax |
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Provider Business Mailing Address
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Address Line | 405 W 4TH S
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City | REXBURG
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State | ID
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Zip | 83440-2318
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Country | US
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Telephone | 208-541-8378
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICK ALLISON
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Credential | M.S
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Telephone | 208-541-8378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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