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General NPI Number Information
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NPI Number | 1902294838
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Entity Type | Organization
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Legal Business Name | HEALTHCARE ALLIANCES
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 11075 S. 214TH ST
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City | GRETNA
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State | NE
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Zip | 68028-4877
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Country | US
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Telephone | 844-645-5666
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Fax |
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Provider Business Mailing Address
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Address Line | 123 N MAIN ST STE 102D
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City | DUBLIN
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State | PA
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Zip | 18917-2107
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Country | US
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Telephone | 844-645-5666
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KIM L NOWLING
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Credential |
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Telephone | 844-645-5666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 86377166
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License Number State | PA
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