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NPI Code Detail

MEDICARE: MISS ALANNAH ALLEN

MEDICARE: MISS ALANNAH ALLEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

General Provider Information

NPI Number : 1427742535
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALANNAH ALLEN
Provider Business Mailing Address
First Line : 4255 CY AVE
Second Line :
City : CASPER
State : WY
Zip : 82604-4247
Country : US
Telephone Number : 307-232-9610
Fax Number : 307-232-9612
Provider Business Practice Location Address
First Line : 4255 CY AVE
Second Line :
City : CASPER
State : WY
Zip : 82604-4247
Country : US
Telephone Number : 307-232-9610
Fax Number : 307-232-9612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/05/2023

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Directions to “ MISS ALANNAH ALLEN ” Practice Location

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