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General NPI Number Information
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NPI Number | 1871734624
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Entity Type | Organization
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Legal Business Name | ALPHA HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 03/08/2009
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Last Update Date | 03/08/2009
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Provider Practice Location Address
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Address Line | 5925 W FRIENDLY AVE SUITE 202
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City | GREENSBORO
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State | NC
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Zip | 27410-3207
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Country | US
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Telephone | 262-391-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 5925 W FRIENDLY AVE SUITE 202
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City | GREENSBORO
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State | NC
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Zip | 27410-3207
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANTHONY OKEKE
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Credential |
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Telephone | 292-391-4414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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