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General NPI Number Information
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NPI Number | 1730937285
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Entity Type | Organization
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Legal Business Name | AC HEALTH SOLUTIONS
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Dates
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Enumeration Date | 05/09/2024
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 15457 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-1822
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Country | US
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Telephone | 813-585-9631
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Fax |
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Provider Business Mailing Address
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Address Line | 15457 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-1822
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Country | US
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Telephone | 813-585-9631
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | QUATEKA JENRETTE
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Credential |
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Telephone | 404-566-0812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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