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General NPI Number Information
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NPI Number | 1831901461
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Entity Type | Organization
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Legal Business Name | ALLIANCE 4 EMPOWERMENT, LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 37844 HALIFAX ST
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City | PALMDALE
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State | CA
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Zip | 93550-7016
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Country | US
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Telephone | 818-423-9226
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Fax |
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Provider Business Mailing Address
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Address Line | 37844 HALIFAX ST
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City | PALMDALE
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State | CA
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Zip | 93550-7016
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Country | US
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Telephone | 818-423-9226
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MARISOL CHAVEZ-ARIAS
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Credential | MS, HCI
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Telephone | 818-423-9226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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