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General NPI Number Information
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NPI Number | 1770831729
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Entity Type | Organization
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Legal Business Name | ALLIANCE PHYSICIANS INC
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Dates
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Enumeration Date | 08/23/2012
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 6438 WILMINGTON PIKE SUITE 300
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City | CENTERVILLE
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State | OH
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Zip | 45459-7022
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Country | US
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Telephone | 937-848-4850
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Fax | 937-848-4858
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Provider Business Mailing Address
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Address Line | 2110 LEITER RD
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City | MIAMISBURG
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State | OH
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Zip | 45342-3660
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Country | US
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Telephone | 937-384-4838
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Fax | 937-384-4845
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Authorized Official
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Title or Position | CFO
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Name | TIMOTHY Y KO
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Credential |
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Telephone | 937-558-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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