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NPI 1750765269

NPI 1750765269 : ALTERNATIVE COMMUNITY SOLUTIONS : DUNCANVILLE, TX

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General NPI Number Information
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    NPI Number           |    1750765269
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALTERNATIVE COMMUNITY SOLUTIONS 
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Dates
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    Enumeration Date     |    07/14/2015
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    Last Update Date     |    07/15/2015
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Provider Practice Location Address
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    Address Line         |    630 BIG STONE GAP RD 
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    City                 |    DUNCANVILLE
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    State                |    TX
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    Zip                  |    75137-2224
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    Country              |    US
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    Telephone            |    469-222-1200
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    Fax                  |    214-432-1700
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Provider Business Mailing Address
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    Address Line         |    630 BIG STONE GAP RD 
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    City                 |    DUNCANVILLE
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    State                |    TX
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    Zip                  |    75137-2224
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    Country              |    US
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    Telephone            |    469-222-1200
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    Fax                  |    214-432-1700
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Authorized Official
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    Title or Position    |    MANAGER PARTNER
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    Name                 |    MRS. CINDY  JOHNSON 
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    Credential           |    
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    Telephone            |    469-222-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    TX
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