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General NPI Number Information
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NPI Number | 1003226002
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Entity Type | Organization
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Legal Business Name | ACE CASE MANAGE SERVICES, LLC
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 8732 HERONS WALK
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City | CHARLESTON
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State | SC
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Zip | 29420-7445
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Country | US
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Telephone | 803-361-9634
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Fax |
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Provider Business Mailing Address
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Address Line | 8732 HERONS WALK
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City | CHARLESTON
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State | SC
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Zip | 29420-7445
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Country | US
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Telephone | 803-361-9634
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM WALLACE
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Credential |
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Telephone | 803-361-9634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 8224
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License Number State | SC
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