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General NPI Number Information
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NPI Number | 1073835625
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Entity Type | Organization
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Legal Business Name | AGENCY FOR COMMUNITY EMPOWERMENT ACE
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 5730 BOWDEN RD STE 206
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-551-0760
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Fax | 904-745-3793
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Provider Business Mailing Address
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Address Line | 5730 BOWDEN RD STE 206
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6103
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Country | US
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Telephone | 904-551-0760
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Fax | 904-745-3793
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MRS. BRENDA LEIGH SHEPHARD
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Credential |
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Telephone | 904-551-0760
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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 | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | FL
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