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General NPI Number Information
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NPI Number | 1598747818
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Entity Type | Organization
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Legal Business Name | ALACHUA HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 2730 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32605-2263
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Country | US
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Telephone | 352-376-1320
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Fax | 352-376-1340
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Provider Business Mailing Address
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Address Line | 2730 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32605-2263
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Country | US
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Telephone | 352-376-1320
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Fax | 352-376-1340
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM S BARNETT I
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Credential | PT AP
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Telephone | 352-376-1320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | FL AP 1152
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT 4135
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License Number State | FL
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