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General NPI Number Information
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NPI Number | 1043016272
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Entity Type | Organization
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Legal Business Name | CAPITAL CARE RESOURCES, LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 11111 CARMEL COMMONS BLVD STE 350-B
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City | CHARLOTTE
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State | NC
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Zip | 28226-5319
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Country | US
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Telephone | 704-598-2716
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Fax |
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Provider Business Mailing Address
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Address Line | 6330 SPRINT PKWY STE 300
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1157
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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 | AUTHORIZED SIGNATORY
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Name | JOHN NICHOLS
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Credential |
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Telephone | 913-814-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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