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General NPI Number Information
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NPI Number | 1285007138
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Entity Type | Organization
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Legal Business Name | ALMA'S COMMUNITY NETWORK
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Dates
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Enumeration Date | 11/01/2015
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Last Update Date | 11/01/2015
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Provider Practice Location Address
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Address Line | 1825 MARKET CENTER BLVD STE 425
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City | DALLAS
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State | TX
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Zip | 75207-3347
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Country | US
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Telephone | 214-797-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 MARKET CENTER BLVD STE 425
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City | DALLAS
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State | TX
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Zip | 75207-3347
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Country | US
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Telephone | 214-797-1670
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GARY D HASTY
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Credential |
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Telephone | 214-686-0226
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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 | 08304503
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License Number State | TX
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