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General NPI Number Information
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NPI Number | 1568802296
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Entity Type | Organization
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Legal Business Name | ALPHA-OMEGA ALLIANCE INC
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 1349 W 33RD ST
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-2955
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Country | US
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Telephone | 561-201-0232
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Fax | 305-508-4204
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Provider Business Mailing Address
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Address Line | 1349 W 33RD ST
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-2955
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Country | US
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Telephone | 561-201-0232
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Fax | 305-508-4204
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Authorized Official
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Title or Position | CASE MANAGER SUPERVISOR
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Name | MONIQUE D BROWN
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Credential | BS
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Telephone | 561-201-0232
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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 |
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