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General NPI Number Information
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NPI Number | 1720842248
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTHCARE
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 210 B SOUTH GIROUARD DR
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City | BROUSSARD
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State | LA
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Zip | 70518-5220
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Country | US
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Telephone | 337-369-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 JANE ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-1003
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Country | US
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Telephone | 337-288-2240
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Fax |
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Authorized Official
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Title or Position | OWNER/NP
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Name | AMBER LITTLEFIELD
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Credential | DNP, PMHNP-BC
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Telephone | 337-288-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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