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General NPI Number Information
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NPI Number | 1740931195
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Entity Type | Organization
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Legal Business Name | ALL GOOD HEALTH GROUP LLC
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 12/09/2023
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Provider Practice Location Address
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Address Line | 2115 S 56TH ST STE 304
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City | TACOMA
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State | WA
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Zip | 98409-6900
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Country | US
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Telephone | 253-448-3271
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Fax | 253-218-6758
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Provider Business Mailing Address
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Address Line | 2115 S 56TH ST STE 304
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City | TACOMA
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State | WA
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Zip | 98409-6900
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Country | US
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Telephone | 408-444-3578
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AL JEROME CRUZ
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Credential | DNP
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Telephone | 408-444-3578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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