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General NPI Number Information
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NPI Number | 1932407186
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Entity Type | Organization
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Legal Business Name | ACE MEDICAL SUPPLIES
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 2791 CLAIRMONT RD NE SUITE 125
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City | ATLANTA
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State | GA
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Zip | 30329-2744
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Country | US
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Telephone | 678-755-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 811 BARKLEY MANOR CT
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7865
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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 | MANAGER
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Name | MR. YOSUF IBRAHIM NAWED
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Credential |
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Telephone | 678-755-5557
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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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