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General NPI Number Information
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NPI Number | 1053210187
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Entity Type | Organization
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Legal Business Name | INTENSIVE CARE EXPERTS HEALTH NETWORK LLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 405 LAUREL ST
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City | NASHVILLE
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State | GA
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Zip | 31639-3030
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Country | US
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Telephone | 229-543-7335
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N FEDERAL HWY STE 601
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2467
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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 | FINANCIAL CONTROLLER
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Name | ERIC JARQUIN
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Credential |
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Telephone | 954-651-8332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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