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General NPI Number Information
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NPI Number | 1548148166
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Entity Type | Organization
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Legal Business Name | ALPINE ASCENT VENTURES LLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 16832 HARKNESS CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3077
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Country | US
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Telephone | 307-487-8568
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Fax |
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Provider Business Mailing Address
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Address Line | 16832 HARKNESS CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3077
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Country | US
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Telephone | 307-487-8568
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRETCOR
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Name | MARCUS STERN
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Credential |
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Telephone | 307-487-8568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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