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General NPI Number Information
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NPI Number | 1588055164
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE PHYSICIANS GROUP, P.A.
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 9555 SEMINOLE BLVD STE 100
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City | SEMINOLE
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State | FL
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Zip | 33772-2524
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Country | US
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Telephone | 727-729-9000
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Fax | 866-614-2548
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Provider Business Mailing Address
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Address Line | 9555 SEMINOLE BLVD STE 100
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City | SEMINOLE
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State | FL
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Zip | 33772-2524
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Country | US
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Telephone | 727-729-9000
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Fax | 866-614-2548
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Authorized Official
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Title or Position | CEO
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Name | DR. MICHAEL TODD SCHAEFER
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Credential | DC, MPH, DACACD
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 0652AD822001
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License Number State | FL
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