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General NPI Number Information
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NPI Number | 1114790573
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Entity Type | Organization
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Legal Business Name | AKESO MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 32244 PASEO ADELANTO STE B
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-3617
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Country | US
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Telephone | 781-626-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 25 RUSTIC DR
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City | COHASSET
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State | MA
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Zip | 02025-1124
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Country | US
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Telephone | 781-626-1212
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER SIMMONS
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Credential |
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Telephone | 781-626-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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