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General NPI Number Information
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NPI Number | 1033434154
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Entity Type | Organization
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Legal Business Name | A ACCIDENT CENTER INC
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 237 W BROAD ST
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City | GROVELAND
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State | FL
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Zip | 34736-2511
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Country | US
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Telephone | 352-429-9571
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Fax |
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Provider Business Mailing Address
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Address Line | 1674 BOWMAN ST
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City | CLERMONT
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State | FL
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Zip | 34711-3406
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Country | US
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Telephone | 352-429-9571
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TOD ANDRE HOWARD
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Credential | D.C.
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Telephone | 352-429-9571
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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 | CH7605
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License Number State | FL
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