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General NPI Number Information
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NPI Number | 1861765638
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Entity Type | Organization
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Legal Business Name | FAMILY CARE FIRST, INC.
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 1023 HIGHWAY 13
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City | HALEYVILLE
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State | AL
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Zip | 35565-1638
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Country | US
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Telephone | 205-269-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 AL. HWY 13
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City | HALEYVILLE
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State | AL
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Zip | 35565
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Country | US
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Telephone | 205-486-5050
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Fax | 205-486-5060
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Authorized Official
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Title or Position | OWNER
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Name | MR. JERRE S. GLOVER JR.
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Credential |
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Telephone | 256-227-0571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | AL
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Taxonomy #3
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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 | AL
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