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General NPI Number Information
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NPI Number | 1922250547
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Entity Type | Organization
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Legal Business Name | AC STAFFING, INC
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 905 S KINGS AVE
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City | BRANDON
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State | FL
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Zip | 33511-5928
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Country | US
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Telephone | 813-661-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 905 S KINGS AVE
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City | BRANDON
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State | FL
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Zip | 33511-5928
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Country | US
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Telephone | 813-661-8800
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANDRE ANTHONY VERA
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Credential |
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Telephone | 813-661-8800
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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 | 30211287
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License Number State | FL
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