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General NPI Number Information
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NPI Number | 1174440150
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Entity Type | Organization
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Legal Business Name | ALLIANCE MEDICAL SENIOR CARE LLC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 42104 N VENTURE DR STE D118
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City | ANTHEM
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State | AZ
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Zip | 85086-3837
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Country | US
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Telephone | 623-505-6565
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Fax | 623-551-5567
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Provider Business Mailing Address
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Address Line | 42104 N VENTURE DR STE D118
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City | ANTHEM
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State | AZ
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Zip | 85086-3837
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Country | US
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Telephone | 623-505-6565
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Fax | 623-551-5567
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ALICIA BAER
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Credential |
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Telephone | 623-552-3756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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