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General NPI Number Information
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NPI Number | 1407032964
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Entity Type | Organization
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Legal Business Name | ALPHA CARE GROUP, LLC
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 6630 E HAMPDEN AVE STE C
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City | DENVER
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State | CO
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Zip | 80224-3004
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Country | US
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Telephone | 720-407-2909
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Fax |
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Provider Business Mailing Address
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Address Line | 6630 E HAMPDEN AVE STE C
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City | DENVER
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State | CO
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Zip | 80224-3004
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Country | US
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Telephone | 720-407-2909
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. GARY RUVINS
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Credential | J.D.
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Telephone | 720-407-2909
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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 | 47103531
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License Number State | CO
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