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General NPI Number Information
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NPI Number | 1124977376
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Entity Type | Organization
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Legal Business Name | ALLIANCE MEDICAL CARE CENTERS
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1793 JE TO LAKE DR
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City | AVON
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State | IN
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Zip | 46123-9584
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Country | US
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Telephone | 210-464-3611
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Fax | 888-329-2091
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Provider Business Mailing Address
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Address Line | 2649 FLAMINGO LN
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-4759
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Country | US
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Telephone | 210-464-3611
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Fax | 888-329-2091
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Authorized Official
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Title or Position | ADMIN
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Name | FAITH BLEVINS
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Credential |
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Telephone | 210-464-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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