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General NPI Number Information
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NPI Number | 1568796670
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Entity Type | Organization
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Legal Business Name | ACE HOME CARE INC
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 6886 NEWBURY KNL
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City | WOODBURY
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State | MN
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Zip | 55125-6735
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Country | US
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Telephone | 651-815-0335
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Fax |
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Provider Business Mailing Address
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Address Line | 6886 NEWBURY KNL
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City | WOODBURY
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State | MN
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Zip | 55125-6735
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Country | US
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Telephone | 651-815-0335
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MICHAEL DOE
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Credential |
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Telephone | 651-815-0335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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