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General NPI Number Information
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NPI Number | 1972408276
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Entity Type | Organization
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Legal Business Name | ALPHA LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 627 N YORK ST UNIT 154
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City | ELMHURST
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State | IL
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Zip | 60126-1620
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Country | US
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Telephone | 902-102-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 627 N YORK ST UNIT 154
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City | ELMHURST
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State | IL
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Zip | 60126-1620
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Country | US
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Telephone | 902-102-1050
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RICARDO CRUZ NIEVES
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Credential |
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Telephone | 902-102-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | NULL
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