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General NPI Number Information
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NPI Number | 1548695422
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Entity Type | Organization
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Legal Business Name | NEW ALLIANCE SERVICES, INC.
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 7307 ACUFF ST
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City | SHAWNEE
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State | KS
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Zip | 66216-3788
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Country | US
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Telephone | 913-523-4095
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Fax | 913-831-2566
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Provider Business Mailing Address
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Address Line | 7307 ACUFF ST
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City | SHAWNEE
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State | KS
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Zip | 66216-3788
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Country | US
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Telephone | 913-523-4095
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Fax | 913-831-2566
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. DALLAS RYAN WILLIAMS
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Credential |
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Telephone | 913-523-4095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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