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General NPI Number Information
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NPI Number | 1760283295
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Entity Type | Organization
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Legal Business Name | ALCES LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 747 S BREA BLVD STE 32
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City | BREA
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State | CA
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Zip | 92821-5379
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Country | US
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Telephone | 714-613-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 747 S BREA BLVD STE 32
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City | BREA
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State | CA
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Zip | 92821-5379
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Country | US
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Telephone | 714-613-2253
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ALI REZAEIPARVIN
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Credential |
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Telephone | 714-613-2253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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