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General NPI Number Information
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NPI Number | 1508681883
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Entity Type | Organization
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Legal Business Name | ALIVION HEALTH LLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 8001 33RD AVE S UNIT A608
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4613
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Country | US
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Telephone | 651-354-1196
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 33RD AVE S UNIT A608
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4613
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Country | US
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Telephone | 651-354-1196
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABDURAHMAN HAMZA ABDURAHMAN
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Credential |
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Telephone | 651-354-1196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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