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General NPI Number Information
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NPI Number | 1154742328
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Entity Type | Organization
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Legal Business Name | ACE MEDICAL LLC
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 2702 1ST AVE
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City | HUNTINGTON
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State | WV
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Zip | 25702-1340
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Country | US
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Telephone | 304-525-2211
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Fax | 304-525-2212
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Provider Business Mailing Address
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Address Line | 2702 1ST AVE
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City | HUNTINGTON
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State | WV
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Zip | 25702-1340
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Country | US
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Telephone | 304-525-2211
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Fax | 304-525-2212
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT G MARSHALL
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Credential |
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Telephone | 304-525-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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