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General NPI Number Information
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NPI Number | 1265735211
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Entity Type | Organization
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Legal Business Name | ALACHOICE HEALTHCARE INC.
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 425 US HIGHWAY 431
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City | BOAZ
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State | AL
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Zip | 35957-2183
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Country | US
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Telephone | 256-302-7940
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Fax |
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Provider Business Mailing Address
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Address Line | 2277 BUFFINGTON RD
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City | BOAZ
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State | AL
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Zip | 35956-5831
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Country | US
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Telephone | 256-302-7940
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH J ALLEN
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Credential | RN
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Telephone | 256-302-7940
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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 | 276
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License Number State | AL
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