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General NPI Number Information
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NPI Number | 1427980879
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Entity Type | Organization
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Legal Business Name | AA ACCESS CARE SERVICES LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1531 32ND AVE S STE 102
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City | FARGO
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State | ND
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Zip | 58103-5911
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Country | US
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Telephone | 701-516-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 32ND AVE S STE 102
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City | FARGO
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State | ND
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Zip | 58103-5911
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Country | US
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Telephone | 701-516-1929
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | BRICE CONSTANTIN NGANADERE SERECKISSY
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Credential |
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Telephone | 612-346-3833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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