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General NPI Number Information
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NPI Number | 1134436173
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Entity Type | Organization
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Legal Business Name | ALPHA LIFE HCS SERVICES INC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 305 ROSEWOOD LN
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City | CEDAR HILL
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State | TX
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Zip | 75104-2931
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Country | US
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Telephone | 214-534-1945
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Fax | 469-533-1555
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Provider Business Mailing Address
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Address Line | 305 ROSEWOOD LN
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City | CEDAR HILL
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State | TX
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Zip | 75104-2931
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA JONES
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Credential |
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Telephone | 214-534-1945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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