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General NPI Number Information
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NPI Number | 1417602509
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Entity Type | Organization
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Legal Business Name | ACPMEDGROUP, LLC
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 1203 OLD TROLLEY RD STE F
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5296
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Country | US
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Telephone | 843-486-0999
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Fax | 843-486-0989
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Provider Business Mailing Address
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Address Line | 1203 OLD TROLLEY RD STE F
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5296
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Country | US
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Telephone | 843-486-0999
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Fax | 843-486-0989
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | SANDRA DOYLE
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Credential |
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Telephone | 843-486-0999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 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 #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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