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General NPI Number Information
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NPI Number | 1538582481
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Entity Type | Organization
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Legal Business Name | AMERICAN CARESOURCE HOLDINGS, INC
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 5429 LBJ FWY SUITE 700
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City | DALLAS
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State | TX
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Zip | 75240-2607
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Country | US
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Telephone | 972-308-6861
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Fax | 214-224-0187
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Provider Business Mailing Address
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Address Line | 5429 LBJ FWY SUITE 700
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City | DALLAS
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State | TX
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Zip | 75240-2607
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Country | US
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Telephone | 972-308-6861
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Fax | 214-224-0187
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Authorized Official
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Title or Position | PROVIDER RELATIONS CREDENTIALING
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Name | MS. EMORY J HOWELL
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Credential | MHR
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Telephone | 972-308-6861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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