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General NPI Number Information
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NPI Number | 1396478301
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Entity Type | Organization
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Legal Business Name | ALPHA SUPPLY AND SERVICES
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 101 DUTCH HILL RD
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City | BLOOMSBURG
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State | PA
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Zip | 17815-9520
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Country | US
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Telephone | 570-764-6238
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Fax |
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Provider Business Mailing Address
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Address Line | 101 DUTCH HILL RD
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City | BLOOMSBURG
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State | PA
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Zip | 17815-9520
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Country | US
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Telephone | 570-764-6238
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF TRANMSPORTATION
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Name | JIMMY LEE KLINGER
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Credential |
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Telephone | 570-764-6238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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