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General NPI Number Information
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NPI Number | 1033517289
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Entity Type | Organization
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Legal Business Name | ALLIANCE FOR COMMUNITY TRANSFORMATIONS
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Dates
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Enumeration Date | 12/19/2014
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 5200 HIGHWAY 49 NORTH
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City | MARIPOSA
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State | CA
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Zip | 95338-2075
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Country | US
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Telephone | 209-742-6456
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Fax | 209-742-6450
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Provider Business Mailing Address
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Address Line | PO BOX 2075
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City | MARIPOSA
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State | CA
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Zip | 95338-2075
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Country | US
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Telephone | 209-742-6456
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Fax | 209-742-6450
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ALISON E TUDOR
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Credential |
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Telephone | 209-742-6456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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