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General NPI Number Information
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NPI Number | 1003508805
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Entity Type | Organization
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Legal Business Name | ADVANCE CARE ASSOCIATES
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 26120 SPRINGLAND ST
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-4740
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Country | US
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Telephone | 248-722-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 26120 SPRINGLAND ST
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-4740
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Country | US
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Telephone | 124-872-2644
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMES KRAFT
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Credential |
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Telephone | 248-722-6446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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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 | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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