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General NPI Number Information
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NPI Number | 1275495897
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Entity Type | Organization
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Legal Business Name | ALTA CARE GROUP, INC.
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 711 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-1039
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Country | US
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Telephone | 330-793-2487
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Fax | 330-743-5748
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Provider Business Mailing Address
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Address Line | 711 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-1039
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Country | US
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Telephone | 330-793-2487
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Fax | 330-743-5748
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Authorized Official
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Title or Position | CREDENTIALING
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Name | RAGAN PRYJMA
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Credential |
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Telephone | 330-793-2487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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