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General NPI Number Information
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NPI Number | 1497196240
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE PHYSICIANS GROUP , PA
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 9555 SEMINOLE BLVD SUITE 100
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City | SEMINOLE
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State | FL
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Zip | 33772-2562
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Country | US
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Telephone | 727-729-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 9555 SEMINOLE BLVD SUITE 100
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City | SEMINOLE
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State | FL
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Zip | 33772-2562
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Country | US
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Telephone | 727-729-9000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. KINGSLEY ASARE
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Credential | D.O
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Telephone | 727-729-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | OS 10525
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License Number State | FL
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