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NPI 1871776187

NPI 1871776187 : AC MEDICAL EXPRESS SERVICES INC : BUNNELL, FL

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General NPI Number Information
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    NPI Number           |    1871776187
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    Entity Type          |    Organization 
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    Legal Business Name  |    AC MEDICAL EXPRESS SERVICES INC 
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Dates
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    Enumeration Date     |    12/10/2007
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    Last Update Date     |    08/07/2008
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Provider Practice Location Address
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    Address Line         |    2323 NORTH STATE STREET #53
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    City                 |    BUNNELL
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    State                |    FL
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    Zip                  |    32110-7835
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    Country              |    US
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    Telephone            |    386-586-0661
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    Fax                  |    386-586-0062
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Provider Business Mailing Address
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    Address Line         |    2323 N STATE ST #53
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    City                 |    BUNNELL
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    State                |    FL
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    Zip                  |    32110-4394
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    Country              |    US
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    Telephone            |    386-586-0661
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    Fax                  |    386-586-0062
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ADRIAN  CALDERIN 
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    Credential           |    
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    Telephone            |    386-586-0661
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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       |    
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    License Number State |    
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