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General NPI Number Information
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NPI Number | 1679226344
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Entity Type | Organization
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Legal Business Name | ALEGIS CARE - TEXAS PA
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 900 SE 5TH ST STE 22
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City | BENTONVILLE
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State | AR
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Zip | 72712-6090
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Country | US
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Telephone | 773-292-4800
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Fax | 312-564-4059
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Provider Business Mailing Address
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Address Line | 730 COOL SPRINGS BLVD STE 500
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City | FRANKLIN
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State | TN
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Zip | 37067-7331
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Country | US
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Telephone | 708-292-4800
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Fax | 312-564-4059
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ROBYN CHANTELL COLLINS
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Credential |
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Telephone | 312-262-2739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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