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General NPI Number Information
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NPI Number | 1356287650
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Entity Type | Organization
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Legal Business Name | ALLIANCE MEDICAL CENTER
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 8499 OLD REDWOOD HWY STE 110
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City | WINDSOR
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State | CA
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Zip | 95492-8057
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Country | US
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Telephone | 707-433-5494
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Fax | 707-431-8649
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Provider Business Mailing Address
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Address Line | 1381 UNIVERSITY ST
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City | HEALDSBURG
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State | CA
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Zip | 95448-3314
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Country | US
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Telephone | 707-433-5494
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Fax | 707-431-8649
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | SUSANNAH RACHAEL LABBE
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Credential |
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Telephone | 559-349-2621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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