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General NPI Number Information
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NPI Number | 1639349566
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Entity Type | Organization
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Legal Business Name | ACS PRODUCTS, INC.
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 3016 GEORGIA ST.
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City | LOUISIANA
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State | MO
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Zip | 63353-2800
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Country | US
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Telephone | 573-754-5511
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Fax | 573-754-3933
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Provider Business Mailing Address
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Address Line | 250 WILLIAMS STREET, NW TLC PROGRAM MANAGER
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City | ATLANTA
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State | GA
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Zip | 30303-1002
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Country | US
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Telephone | 404-929-6989
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Fax | 404-327-6404
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Authorized Official
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Title or Position | PRESIDENT AND CFO
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Name | CATHERINE MICKLE
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Credential |
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Telephone | 404-329-7984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4826-04
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MO
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