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General NPI Number Information
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NPI Number | 1518094622
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Entity Type | Organization
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Legal Business Name | ALLIANCE CHILDREN'S SERVICES, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1110 W WILLIAM CANNON DR STE 500
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City | AUSTIN
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State | TX
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Zip | 78745-5460
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Country | US
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Telephone | 512-326-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 49 LEXINGTON ST
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City | NEWTON
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State | MA
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Zip | 02465-1062
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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 | CONTROLLER
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Name | MICHAEL A DODOS
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Credential |
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Telephone | 617-332-3366
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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 | 19001
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License Number State | TX
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