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General NPI Number Information
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NPI Number | 1477037802
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Entity Type | Organization
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Legal Business Name | K.A.M ALLIANCE, INC.
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 2215 W 95TH ST #100
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City | CHICAGO
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State | IL
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Zip | 60643-1001
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Country | US
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Telephone | 773-239-9600
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Fax | 773-239-9601
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Provider Business Mailing Address
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Address Line | 2215 W 95TH ST #100
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City | CHICAGO
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State | IL
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Zip | 60643-1001
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Country | US
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Telephone | 773-239-9600
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Fax | 773-239-9601
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. ANGELA J RATCLIFFE
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Credential |
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Telephone | 773-239-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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