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General NPI Number Information
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NPI Number | 1952605628
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Entity Type | Organization
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Legal Business Name | ALPHA CARE SERVICES INC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5402 W WASHINGTON ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46241-2125
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Country | US
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Telephone | 317-979-0006
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Fax | 317-241-5577
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Provider Business Mailing Address
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Address Line | 5402 W WASHINGTON ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46241-2125
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Country | US
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Telephone | 317-979-0006
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Fax | 317-241-5577
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Authorized Official
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Title or Position | PRESIDENT
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Name | LONGE MICHAEL OWODE
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Credential | OWNER
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Telephone | 317-979-0006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | IN
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