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General NPI Number Information
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NPI Number | 1124488176
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Entity Type | Organization
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Legal Business Name | ACE THERAPEUTIX AND CONSULTING LLC
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 10750 RHODE ISLAND AVE
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City | BELTSVILLE
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State | MD
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Zip | 20705-2513
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Country | US
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Telephone | 301-937-1632
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Fax |
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Provider Business Mailing Address
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Address Line | 10750 RHODE ISLAND AVE
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City | BELTSVILLE
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State | MD
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Zip | 20705-2513
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Country | US
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Telephone | 301-332-8441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADA EZEANI
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Credential | MS, OTR/L
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Telephone | 301-332-8441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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