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General NPI Number Information
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NPI Number | 1508935685
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 151 COLONIA DE SALUD
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-8257
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Country | US
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Telephone | 520-458-4641
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-5406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | LAURA KASSA
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Credential |
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Telephone | 904-300-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 15-078
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License Number State | AZ
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