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General NPI Number Information
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NPI Number | 1396034633
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Entity Type | Organization
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Legal Business Name | AC GROUP SERVICES INC
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 1701 W FLAGLER ST STE 221
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City | MIAMI
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State | FL
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Zip | 33135-2018
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Country | US
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Telephone | 305-755-2361
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Fax | 305-900-3140
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Provider Business Mailing Address
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Address Line | 1701 W FLAGLER ST STE 221
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City | MIAMI
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State | FL
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Zip | 33135-2098
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Country | US
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Telephone | 305-755-2361
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Fax | 305-900-3140
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANUEL SANCHEZ
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Credential |
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Telephone | 305-755-2361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH 24816
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License Number State | FL
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