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NPI Code Detail

MEDICARE: ALLIED FEDERAL GROUP

MEDICARE: ALLIED FEDERAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1215265350
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED FEDERAL GROUP
Provider Business Mailing Address
First Line : 15800 DOOLEY ROAD
Second Line : SUITE 150
City : ADDISON
State : TX
Zip : 75034
Country : US
Telephone Number : 972-759-1718
Fax Number :
Provider Business Practice Location Address
First Line : 15800 DOOLEY RD
Second Line : SUITE 150
City : ADDISON
State : TX
Zip : 75001-4284
Country : US
Telephone Number : 972-759-1718
Fax Number :
Authorized Official
Title or Position : SENIOR PARTNER
Name : MR. JEFFREY RUSSELL SPEARS
Credential :
Telephone Number : 972-759-1718
Provider Enumeration Date : 12/01/2009
Last Update Date : 12/01/2009

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Directions to “ALLIED FEDERAL GROUP ” Practice Location

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