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General NPI Number Information
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NPI Number | 1366601874
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTH CENTER
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 5000 HWY 39 N
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City | MERIDIAN
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State | MS
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Zip | 39301-1021
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Country | US
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Telephone | 601-483-6211
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Fax | 601-696-4898
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Provider Business Mailing Address
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Address Line | 5000 HWY 39 N
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City | MERIDIAN
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State | MS
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Zip | 39301-1021
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Country | US
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Telephone | 601-483-6211
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Fax | 601-696-4898
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM PATTERSON
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Credential |
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Telephone | 601-483-6211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 12-308
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License Number State | MS
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