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General NPI Number Information
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NPI Number | 1003975574
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTH GROUP LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3320 LAWRENCEVILLE SUWANEE ROAD SUITE 1C
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City | SUWANEE
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State | GA
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Zip | 30024
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Country | US
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Telephone | 678-714-5722
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Fax | 678-714-5724
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Provider Business Mailing Address
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Address Line | 3320 LAWRENCEVILLE SUWANEE ROAD SUITE 1C
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City | SUWANEE
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State | GA
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Zip | 30024
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Country | US
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Telephone | 678-714-5722
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Fax | 678-714-5724
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Authorized Official
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Title or Position | CO OWNER
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Name | ABDO IBRAHIM
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Credential | DC
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Telephone | 678-714-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO007116
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO006264
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | GA11414
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | GA6920
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License Number State | GA
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