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General NPI Number Information
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NPI Number | 1043949829
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Entity Type | Organization
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Legal Business Name | AMERICAN CARE SPECIALTY LLC
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 1025 KILLIAN HILL RD SW STE A
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City | LILBURN
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State | GA
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Zip | 30047-7601
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Country | US
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Telephone | 770-676-5686
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Fax | 770-676-5684
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Provider Business Mailing Address
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Address Line | 1025 KILLIAN HILL RD SW STE A
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City | LILBURN
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State | GA
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Zip | 30047-7601
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Country | US
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Telephone | 770-676-5686
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Fax | 770-676-5684
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Authorized Official
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Title or Position | AUTHORISED AGENT
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Name | MR. DHAVALKUMAR PATEL
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Credential |
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Telephone | 516-830-5885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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