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General NPI Number Information
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NPI Number | 1063055119
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Entity Type | Organization
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Legal Business Name | ACCESSIBLE SERVICES LLC
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 14505 RIALTO AVE
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City | BROOKSVILLE
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State | FL
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Zip | 34613-5050
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Country | US
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Telephone | 352-515-6329
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Fax | 354-535-5547
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Provider Business Mailing Address
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Address Line | 14391 SPRING HILL DR STE 165
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City | SPRING HILL
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State | FL
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Zip | 34609-8199
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Country | US
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Telephone | 352-515-6329
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | LOTUS DINAN
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Credential | CEAC
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Telephone | 352-515-6329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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