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General NPI Number Information
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NPI Number | 1164737508
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Entity Type | Organization
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Legal Business Name | ALAVEN PHARMACEUTICAL LLC
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 200 COBB PKWY N SUITE 428
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City | MARIETTA
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State | GA
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Zip | 30062-3585
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Country | US
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Telephone | 678-589-7000
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Fax | 678-589-0500
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Provider Business Mailing Address
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Address Line | 200 COBB PKWY N SUITE 428
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City | MARIETTA
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State | GA
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Zip | 30062-3585
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Country | US
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Telephone | 678-589-7000
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Fax | 678-589-0500
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. VIRINDER NOHRIA
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Credential | MD, PHD
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Telephone | 678-589-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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