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General NPI Number Information
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NPI Number | 1609131721
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Entity Type | Organization
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Legal Business Name | ACE CARE INC
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 1300 INDUSTRIAL BLVD STE 202
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-4029
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Country | US
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Telephone | 215-919-9103
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 INDUSTRIAL BLVD STE 202
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-4029
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. ALEXANDER KUZNETSOV
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Credential |
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Telephone | 267-342-2453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 12035
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 12035
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License Number State | PA
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