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General NPI Number Information
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NPI Number | 1629937644
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Entity Type | Organization
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Legal Business Name | ACES TO ACE LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 201 SEVENTH ST
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City | CARROLLTON
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State | GA
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Zip | 30117-2168
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Country | US
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Telephone | 678-849-4656
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 282
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City | CARROLLTON
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State | GA
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Zip | 30112-0005
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Country | US
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Telephone | 678-849-4656
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Fax |
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Authorized Official
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Title or Position | CERTIFIED LIFE COACH
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Name | MR. DEMARCUS D COPELAND
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Credential |
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Telephone | 678-849-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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