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General NPI Number Information
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NPI Number | 1508863184
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Entity Type | Organization
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Legal Business Name | SAMARITAN ALLIANCE L.L.C.
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 310 S LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40508-3008
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Country | US
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Telephone | 859-226-7000
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Fax | 859-226-7154
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Provider Business Mailing Address
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Address Line | 310 S LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40508-3008
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Country | US
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Telephone | 859-226-7000
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Fax | 859-226-7154
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Authorized Official
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Title or Position | CONTRACTS MGR
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Name | JEANNIE HILL
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Credential | BS CHFM
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Telephone | 859-226-7105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 100104
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License Number State | KY
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