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General NPI Number Information
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NPI Number | 1659728871
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Entity Type | Organization
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Legal Business Name | ALLIANCE EVALUATION SERVICES LLC
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 05/17/2016
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Provider Practice Location Address
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Address Line | 10586 W COTTONTAIL LN
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City | PEORIA
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State | AZ
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Zip | 85383-9660
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Country | US
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Telephone | 623-209-7869
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Fax |
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Provider Business Mailing Address
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Address Line | 18631 N 19TH AVE STE 158458
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City | PHOENIX
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State | AZ
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Zip | 85027-0414
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Country | US
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Telephone | 623-209-7869
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIRK OMALLEY
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Credential |
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Telephone | 623-209-7869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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