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General NPI Number Information
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NPI Number | 1518612654
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Entity Type | Organization
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Legal Business Name | ALLIANCE MEDICAL PARTNERS, LLC
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 40 SKOKIE BLVD STE 200
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City | NORTHBROOK
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State | IL
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Zip | 60062-1615
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Country | US
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Telephone | 800-527-6797
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Fax |
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Provider Business Mailing Address
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Address Line | 1 INDIANA SQ STE 2060
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-2020
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Country | US
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Telephone | 800-526-6797
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MARIA ALDERSON
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Credential |
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Telephone | 800-526-6797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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