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General NPI Number Information
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NPI Number | 1720959596
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Entity Type | Organization
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Legal Business Name | ALAGA HEALTH LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 360 KINGSTOWN RD UNIT 200
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3258
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Country | US
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Telephone | 401-799-5959
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Fax |
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Provider Business Mailing Address
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Address Line | 360 KINGSTOWN RD UNIT 200
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3258
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Country | US
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Telephone | 401-799-5959
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MARC DALLAIRE
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Credential |
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Telephone | 401-323-8755
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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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