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General NPI Number Information
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NPI Number | 1568702934
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTH AND HUMAN SERVICES
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 5500 EXECUTIVE CENTER DR SUITE 204
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City | CHARLOTTE
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State | NC
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Zip | 28212-8856
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Country | US
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Telephone | 704-535-4342
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Fax | 704-535-4347
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Provider Business Mailing Address
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Address Line | 5500 EXECUTIVE CENTER DR SUITE 204
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City | CHARLOTTE
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State | NC
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Zip | 28212-8856
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Country | US
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Telephone | 704-535-4342
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Fax | 704-535-4347
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Authorized Official
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Title or Position | CEO
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Name | MRS. LISA BROWN SMITH
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Credential | M.ED.
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Telephone | 704-535-4342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NC
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