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General NPI Number Information
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NPI Number | 1619502127
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE ASSOCIATES LLC
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Dates
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Enumeration Date | 03/04/2020
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 2 ALLEN ST UNIT 5A
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City | NEW YORK
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State | NY
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Zip | 10002-5383
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Country | US
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Telephone | 718-790-5069
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CHATHAM SQ RM 700
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City | NEW YORK
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State | NY
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Zip | 10038-1000
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Country | US
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Telephone | 718-790-5069
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JUDY ACIDRE
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Credential |
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Telephone | 718-790-5069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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