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General NPI Number Information
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NPI Number | 1518742600
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Entity Type | Organization
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Legal Business Name | ALFASIGMA USA, INC.
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 2008 CLAIBORNE AVE
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City | SHREVEPORT
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State | LA
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Zip | 71103-4125
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Country | US
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Telephone | 318-425-6135
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Fax |
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Provider Business Mailing Address
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Address Line | 550 HILLS DR STE 110B
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City | BEDMINSTER
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State | NJ
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Zip | 07921-1537
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Country | US
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Telephone | 908-310-5786
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Fax |
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | MS. JAN WAGNER
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Credential |
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Telephone | 318-425-5751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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