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General NPI Number Information
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NPI Number | 1831266402
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 11500 BROOKSHIRE AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4917
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Country | US
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Telephone | 562-904-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BAYVIEW CIRCLE SUITE 400
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2984
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Country | US
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Telephone | 800-544-3215
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Fax |
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Authorized Official
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Title or Position | EXEC VP& CFO
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Name | RHONDA LONGMORE-GRUND
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Credential |
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Telephone | 800-544-3215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 6640-30
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License Number State | CA
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