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General NPI Number Information
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NPI Number | 1295553972
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Entity Type | Organization
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Legal Business Name | ALPHA 1 MEDICAL INC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 386 MAPLE AVE E STE 115
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City | VIENNA
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State | VA
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Zip | 22180-4720
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Country | US
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Telephone | 301-332-3846
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Fax | 703-356-5516
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Provider Business Mailing Address
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Address Line | 386 MAPLE AVE E STE 115
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City | VIENNA
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State | VA
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Zip | 22180-4720
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Country | US
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Telephone | 301-332-3846
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Fax | 703-356-5516
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Authorized Official
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Title or Position | OFFICE MANAGER/OWNER
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Name | MRS. KIMBERLY CALHOUN
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Credential |
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Telephone | 877-883-0001
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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 |
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License Number State |
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