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General NPI Number Information
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NPI Number | 1295662625
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Entity Type | Organization
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Legal Business Name | ALLIANCE CARE SERVICES
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 215 OAK GROVE ST APT 1309
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-3355
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Country | US
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Telephone | 612-449-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 215 OAK GROVE ST APT 1309
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-3355
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Country | US
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Telephone | 612-449-4880
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DINEMA B MATE
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Credential |
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Telephone | 612-448-4990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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