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General NPI Number Information
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NPI Number | 1518217041
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Entity Type | Organization
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Legal Business Name | AHM, LLC
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 113C WESTERN BLVD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5726
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Country | US
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Telephone | 910-378-7510
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Fax | 910-238-2141
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Provider Business Mailing Address
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Address Line | 113C WESTERN BLVD
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5726
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Country | US
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Telephone | 910-378-7510
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Fax | 910-238-2141
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Authorized Official
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Title or Position | CEO
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Name | MRS. LIZ ACEVEDO
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Credential |
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Telephone | 910-378-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 600870926
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License Number State | NC
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