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General NPI Number Information
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NPI Number | 1225167216
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Entity Type | Organization
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Legal Business Name | AIDS LEADERSHIP FOOTHILLS-AREA ALLIANCE, INC.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1120 FAIRGROVE CHURCH RD SUITE 28
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City | HICKORY
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State | NC
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Zip | 28602-9630
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Country | US
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Telephone | 828-322-1447
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Fax | 828-322-8795
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Provider Business Mailing Address
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Address Line | 1120 FAIRGROVE CHURCH RD SUITE 28
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City | HICKORY
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State | NC
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Zip | 28602-9630
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Country | US
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Telephone | 828-322-1447
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Fax | 828-322-8795
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARTHA W GANTT
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Credential |
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Telephone | 828-322-1447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 70602
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License Number State | NC
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