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General NPI Number Information
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NPI Number | 1144490327
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Entity Type | Organization
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Legal Business Name | ACE HOMECARE LLC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 10707 66TH STREET NORTH SUITES B & C
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City | PINELLAS PARK
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State | FL
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Zip | 33782-2353
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Country | US
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Telephone | 727-547-2400
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Fax | 727-547-2433
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Provider Business Mailing Address
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Address Line | PO BOX 2261
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City | MANGO
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State | FL
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Zip | 33550-2261
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Country | US
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Telephone | 813-621-0020
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Fax | 813-621-0022
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Authorized Official
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Title or Position | CONTRACTS & COMPLIANCE DIRECTOR
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Name | MS. ROSANNA LALLANA BURKLEY
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Credential |
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Telephone | 813-621-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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