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General NPI Number Information
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NPI Number | 1831862861
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Entity Type | Organization
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Legal Business Name | ACUMEN CLINICAL SERVICES, INC.
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 925 N CENTRAL AVE
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City | UMATILLA
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State | FL
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Zip | 32784-8656
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Country | US
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Telephone | 904-300-5507
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Fax |
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Provider Business Mailing Address
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Address Line | 925 N CENTRAL AVE
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City | UMATILLA
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State | FL
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Zip | 32784-8656
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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 | OWNER
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Name | RACHELLE ALCIDE
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Credential | DPT
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Telephone | 904-300-5507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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