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General NPI Number Information
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NPI Number | 1174419667
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Entity Type | Organization
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Legal Business Name | ALPHA HEALTH LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 3090 DAUPHIN SQ CONNECTOR
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City | MOBILE
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State | AL
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Zip | 36607-2500
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Country | US
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Telephone | 251-725-0820
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Fax |
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Provider Business Mailing Address
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Address Line | 2462 ROSELAND DR
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City | SEMMES
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State | AL
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Zip | 36575-7079
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Country | US
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Telephone | 615-624-1332
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | TABBATA RIVERS
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Credential | CRNP
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Telephone | 615-624-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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