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General NPI Number Information
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NPI Number | 1013397298
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Entity Type | Organization
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Legal Business Name | LIFE CARE BEHAVIORAL MANAGEMENT INC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 7801 CORAL WAY STE 121
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City | MIAMI
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State | FL
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Zip | 33155-6538
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Country | US
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Telephone | 786-409-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 7801 CORAL WAY STE 121
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City | MIAMI
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State | FL
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Zip | 33155-6538
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Country | US
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Telephone | 786-409-5690
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIGDREY NAPOLES
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Credential |
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Telephone | 786-409-5690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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