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General NPI Number Information
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NPI Number | 1619788437
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Entity Type | Organization
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Legal Business Name | ALLIANCE WEST INSURANCE, INC.
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 6919 LAKEWOOD DR W STE D1
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City | TACOMA
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State | WA
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Zip | 98467-3220
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Country | US
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Telephone | 253-314-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 6919 LAKEWOOD DR W STE D1
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City | TACOMA
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State | WA
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Zip | 98467-3220
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Country | US
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Telephone | 253-314-5371
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Fax |
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Authorized Official
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Title or Position | GOVERNMENT SOLUTIONS
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Name | JONATHAN CROOM
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Credential |
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Telephone | 253-314-5371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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