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General NPI Number Information
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NPI Number | 1437125572
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Entity Type | Organization
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Legal Business Name | ALLIANCE PHYSICIANS INC
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 1827 WOODMAN CENTER DR
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City | KETTERING
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State | OH
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Zip | 45420-1157
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Country | US
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Telephone | 937-558-3223
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Fax | 937-558-3247
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Provider Business Mailing Address
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Address Line | 1 PRESTIGE PL SUITE 550
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City | MIAMISBURG
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State | OH
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Zip | 45342-3794
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Country | US
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Telephone | 937-762-1300
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Fax | 937-762-1319
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Authorized Official
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Title or Position | CFO
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Name | TIMOTHY Y KO
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Credential |
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Telephone | 937-558-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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