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General NPI Number Information
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NPI Number | 1942484035
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Entity Type | Organization
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Legal Business Name | ALLIANCE ENTERPRISES INC.
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Dates
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Enumeration Date | 12/25/2007
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Last Update Date | 12/25/2007
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Provider Practice Location Address
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Address Line | 2802 RHODE ISLAND AVE NE SUITE 2
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City | WASHINGTON
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State | DC
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Zip | 20018-2966
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Country | US
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Telephone | 202-210-8985
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Fax | 301-809-6823
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Provider Business Mailing Address
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Address Line | PO BOX 566
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City | GLENN DALE
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State | MD
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Zip | 20769-0566
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Country | US
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Telephone | 202-210-8985
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Fax | 301-809-6823
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. KAMALDEEN ABIODUN SANNI
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Credential | PHD P.T.
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Telephone | 202-210-8985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | DCPT2472
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | DCPT2665
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License Number State | DC
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