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General NPI Number Information
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NPI Number | 1073497236
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Entity Type | Organization
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Legal Business Name | ALIGN LIFE CENTER
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 4114 MAPLEVIEW DR
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City | BEAVERCREEK
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State | OH
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Zip | 45432-1920
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Country | US
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Telephone | 937-705-0849
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Fax |
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Provider Business Mailing Address
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Address Line | 4114 MAPLEVIEW DR
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City | BEAVERCREEK
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State | OH
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Zip | 45432-1920
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Country | US
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Telephone | 937-705-0849
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/ASSISTANT DIRECTOR
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Name | MRS. DENISE LARRICK
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Credential |
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Telephone | 937-705-0849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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