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General NPI Number Information
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NPI Number | 1023252004
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Entity Type | Organization
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Legal Business Name | AALPHA RESOURCES, LLC
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 13322 HIGHWAY 90, SUITE K
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City | BOUTTE
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State | LA
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Zip | 70039
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Country | US
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Telephone | 504-512-3037
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Fax | 985-331-8863
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Provider Business Mailing Address
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Address Line | PO BOX 1032
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City | BOUTTE
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State | LA
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Zip | 70039
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Country | US
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Telephone | 504-512-3037
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Fax | 985-331-8863
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Authorized Official
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Title or Position | CEO
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Name | SHARONDA L BAHAM
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Credential | MSW
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Telephone | 504-512-3037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 15197
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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