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General NPI Number Information
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NPI Number | 1386993350
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Entity Type | Organization
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Legal Business Name | ALVIS INC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 2100 STELLA CT
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City | COLUMBUS
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State | OH
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Zip | 43215-1011
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Country | US
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Telephone | 614-252-8402
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Fax | 614-252-5326
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Provider Business Mailing Address
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Address Line | 2100 STELLA CT
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City | COLUMBUS
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State | OH
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Zip | 43215-1011
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Country | US
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Telephone | 614-252-8402
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Fax | 614-252-5326
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MS. DENISE M. ROBINSON
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Credential |
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Telephone | 614-252-8402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 13153
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License Number State | OH
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