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General NPI Number Information
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NPI Number | 1417305491
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Entity Type | Organization
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Legal Business Name | ALPHA CARE CMA
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 510 SABERWOOD DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489
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Country | US
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Telephone | 832-717-1476
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Fax | 832-672-7919
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Provider Business Mailing Address
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Address Line | 510 SABERWOOD DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-4238
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Country | US
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Telephone | 832-717-1476
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Fax | 832-672-7919
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Authorized Official
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Title or Position | CEO
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Name | MARIA D WHITE
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Credential |
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Telephone | 832-717-1476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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