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General NPI Number Information
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NPI Number | 1669653804
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTHCARE SPECIALISTS, LLC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 101 S BAY ST
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City | AMITE
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State | LA
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Zip | 70422-2831
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Country | US
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Telephone | 985-747-8362
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Fax | 985-747-8363
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Provider Business Mailing Address
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Address Line | 101 S BAY ST
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City | AMITE
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State | LA
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Zip | 70422-2831
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Country | US
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Telephone | 985-747-8362
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Fax | 985-747-8363
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KEANDREA WILLIAMS-ANDERSON
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Credential |
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Telephone | 985-747-8362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 12456
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License Number State | LA
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