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General NPI Number Information
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NPI Number | 1245472976
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTHCARE AND CONSULTING GROUP, LLC
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 03/26/2009
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Provider Practice Location Address
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Address Line | 4015 FOREST DR SUITE 203
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City | COLUMBIA
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State | SC
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Zip | 29204-4350
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Country | US
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Telephone | 803-600-4243
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Fax | 803-753-4317
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Provider Business Mailing Address
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Address Line | 4015 FOREST DRIVE SUITE 203
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City | COLUMBIA
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State | SC
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Zip | 29204
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Country | US
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Telephone | 803-600-4243
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Fax | 803-753-4317
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Authorized Official
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Title or Position | EXEC. DIRECTOR HEALTHCARE SERVICES
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Name | SHIRLEY S YOUNG
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Credential |
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Telephone | 803-600-4243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | SC
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