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General NPI Number Information
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NPI Number | 1154943447
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Entity Type | Organization
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Legal Business Name | JUDE ALCIDE, D.C., PLLC
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 221 W HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5441
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Country | US
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Telephone | 800-315-7611
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Fax |
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Provider Business Mailing Address
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Address Line | 221 W HALLANDALE BEACH BLVD # 346
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5441
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Country | US
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Telephone | 305-735-1986
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Fax | 305-723-3334
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUDE ALCIDE
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Credential | DC, CFMP
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Telephone | 305-735-1986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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