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NPI 1497903942

NPI 1497903942 : ACHE GROUP SERVICES, INC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1497903942
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACHE GROUP SERVICES, INC 
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Dates
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    Enumeration Date     |    09/08/2008
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    Last Update Date     |    10/16/2008
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Provider Practice Location Address
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    Address Line         |    165 W WIEUCA RD NE SUITE # 216
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30342-3252
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    Country              |    US
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    Telephone            |    404-843-3744
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    165 W WIEUCA RD NE SUITE # 216
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30342-3252
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    Country              |    US
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    Telephone            |    404-843-3744
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. LEONILA N ORTIZ 
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    Credential           |    
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    Telephone            |    404-843-3744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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