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General NPI Number Information
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NPI Number | 1508021833
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE SOLUTIONS LIFELINE INC.
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 3456 VALE CT
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4411
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Country | US
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Telephone | 571-288-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 3456 VALE CT
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4411
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Country | US
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Telephone | 571-288-6090
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Fax |
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Authorized Official
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Title or Position | CEO & FOUNDER
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Name | MS. BEVERLY HARRIS
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Credential |
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Telephone | 571-288-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MD
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