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General NPI Number Information
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NPI Number | 1790135994
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Entity Type | Organization
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Legal Business Name | FIRST RESORT HEALTH GROUP INC D/B/A ALCIDE CHIROPRACTIC
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Dates
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Enumeration Date | 06/18/2016
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Last Update Date | 07/30/2016
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Provider Practice Location Address
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Address Line | 2727 NW 43RD ST SUITE 8
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City | GAINESVILLE
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State | FL
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Zip | 32606-6632
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Country | US
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Telephone | 352-639-4660
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Fax | 352-388-9381
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Provider Business Mailing Address
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Address Line | 501 SW 75TH ST APT G4
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City | GAINESVILLE
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State | FL
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Zip | 32607-1703
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Country | US
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Telephone | 352-639-4660
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Fax | 352-388-9341
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. JUDE ALCIDE
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Credential | D.C.
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Telephone | 352-639-4660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | FL
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