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General NPI Number Information
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NPI Number | 1235248394
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Entity Type | Organization
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Legal Business Name | NEW ALLIANCE OF INDEPENDENT
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 3267 BEE CAVE RD # 107-190
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City | AUSTIN
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State | TX
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Zip | 78746-6700
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Country | US
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Telephone | 512-345-2771
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Fax | 512-345-6517
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Provider Business Mailing Address
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Address Line | 3267 BEE CAVE ROAD, 107-190
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City | AUSTIN
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State | TX
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Zip | 78746-6700
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Country | US
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Telephone | 512-345-2771
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Fax | 512-345-6517
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JAN BEAVER
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Credential |
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Telephone | 512-345-2771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0041318
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License Number State | TX
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