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General NPI Number Information
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NPI Number | 1083868996
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HOUSE, INC
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 2206 4TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1053
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Country | US
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Telephone | 505-242-3799
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Fax | 505-247-0485
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Provider Business Mailing Address
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Address Line | 2206 4TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-1053
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Country | US
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Telephone | 505-242-3799
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Fax | 505-247-0485
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ROBIN CASH
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Credential | M.S.
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Telephone | 505-242-3799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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