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General NPI Number Information
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NPI Number | 1528286762
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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 | 04/23/2007
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 2500 MOWRY AVE #170
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 510-608-1380
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Fax |
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Provider Business Mailing Address
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Address Line | 18201 VON KARMAN AVE STE 600
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City | IRVINE
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State | CA
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Zip | 92612-1176
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Country | US
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Telephone | 800-544-3215
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Fax |
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Authorized Official
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Title or Position | EXEC VP & CFO
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Name | RHONDA LONGMORE-GRUND
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Credential |
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Telephone | 800-544-3215
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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 | 6640-30
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License Number State | CA
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