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General NPI Number Information
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NPI Number | 1568197408
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Entity Type | Organization
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Legal Business Name | HEALTH SERVICE ALLIANCE
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 41990 COOK ST # F-2002
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City | PALM DESERT
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State | CA
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Zip | 92211-6100
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Country | US
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Telephone | 442-334-7192
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Fax | 760-565-7707
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Provider Business Mailing Address
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Address Line | 41990 COOK ST # F-2002
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City | PALM DESERT
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State | CA
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Zip | 92211-6100
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Country | US
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Telephone | 760-674-7132
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Fax | 760-674-7120
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Authorized Official
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Title or Position | CFO
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Name | JEFFREY J COX
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Credential |
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Telephone | 909-464-9675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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