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General NPI Number Information
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NPI Number | 1164679114
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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 | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 712 53RD AVE E SUITE A
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City | BRADENTON
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State | FL
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Zip | 34203-5827
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Country | US
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Telephone | 941-758-8287
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Fax | 941-758-8267
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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 | MANAGING MEMBER/CIO
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Name | ARTHUR BARLAAN
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Credential |
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Telephone | 813-918-0611
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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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