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General NPI Number Information
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NPI Number | 1487772216
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Entity Type | Organization
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Legal Business Name | ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 23320 N STATE ROAD 235
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City | BROOKER
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State | FL
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Zip | 32622-5266
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Country | US
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Telephone | 352-485-1133
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Fax | 352-485-2927
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Provider Business Mailing Address
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Address Line | PO BOX 3123
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City | ST AUGUSTINE
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State | FL
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Zip | 32085-3123
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Country | US
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Telephone | 904-824-4990
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Fax | 904-824-2226
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Authorized Official
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Title or Position | DIRECTOR
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Name | CANDICE KING
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Credential |
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Telephone | 352-485-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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