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General NPI Number Information
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NPI Number | 1699025551
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Entity Type | Organization
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Legal Business Name | ACE HOMECARE LLC
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 4051 N LECANTO HWY
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3551
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Country | US
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Telephone | 352-563-0663
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2261
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City | MANGO
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State | FL
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Zip | 33550-2261
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Country | US
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Telephone | 813-621-0020
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS COMPLIANCE
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Name | MS. ROSANNA LALLANA BURKLEY
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Credential |
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Telephone | 813-621-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 212040961
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License Number State | FL
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