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General NPI Number Information
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NPI Number | 1437922176
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE HEALTH
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 30 N GOULD ST
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 419-340-8662
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 419-340-8662
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Fax |
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | SARA BROCKHOLDER
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Credential |
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Telephone | 864-305-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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