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NPI Code Detail

MEDICARE: MS. MARLEEN ISABEL ALFORD CASE MANAGER

MEDICARE: MS. MARLEEN ISABEL ALFORD CASE MANAGER
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
1174400000XSpecialist

General Provider Information

NPI Number : 1396968343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARLEEN ISABEL ALFORD CASE MANAGER
Provider Business Mailing Address
First Line : 200 WAVERLY AVE
Second Line :
City : TRINIDAD
State : CO
Zip : 81082-2053
Country : US
Telephone Number : 719-845-1002
Fax Number :
Provider Business Practice Location Address
First Line : 220 4TH AVE
Second Line :
City : RATON
State : NM
Zip : 87740-2643
Country : US
Telephone Number : 505-445-2754
Fax Number : 505-445-2225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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