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General NPI Number Information
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NPI Number | 1912339227
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Entity Type | Organization
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Legal Business Name | AC ENTERPRISES, INC
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 4730 W 173RD ST G
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City | LAWNDALE
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State | CA
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Zip | 90260-3120
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Country | US
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Telephone | 310-461-9597
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Fax | 310-349-3374
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Provider Business Mailing Address
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Address Line | 2851 W 120TH ST # E-321
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City | HAWTHORNE
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State | CA
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Zip | 90250-3395
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Country | US
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Telephone | 323-816-2455
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Fax | 310-349-3374
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALICIA DANIELLE NICHOLS
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Credential |
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Telephone | 310-461-9597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | CA
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