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General NPI Number Information
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NPI Number | 1689042145
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Entity Type | Organization
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Legal Business Name | ADVANCE CARE PLANNING INC
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 8624 FLOORSTONE MILL DR
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City | JACKSONVILLE
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State | FL
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Zip | 32244-2497
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Country | US
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Telephone | 904-307-1328
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Fax |
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Provider Business Mailing Address
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Address Line | 8624 FLOORSTONE MILL DR
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City | JACKSONVILLE
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State | FL
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Zip | 32244-2497
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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 | PRESIDENT
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Name | DAVID WURZEL
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Credential |
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Telephone | 904-307-1328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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