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General NPI Number Information
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NPI Number | 1760608749
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Entity Type | Organization
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Legal Business Name | THE ALPHA GROUP OF DELAWARE, INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 ALPHA DR
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City | DELAWARE
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State | OH
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Zip | 43015-8642
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Country | US
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Telephone | 740-368-5810
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 ALPHA DR
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City | DELAWARE
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State | OH
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Zip | 43015-8642
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Country | US
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Telephone | 740-368-5810
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING SERVICES COORDINATOR
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Name | TEENA YEARY
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Credential |
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Telephone | 740-368-5810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 2100425
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License Number State | OH
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