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General NPI Number Information
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NPI Number | 1053912832
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Entity Type | Organization
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Legal Business Name | MULTICARE COMMUNITY SERVICES, INC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 4055 NW 97TH AVENUE. SUITE 105
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City | DORAL
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State | FL
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Zip | 33178
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Country | US
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Telephone | 786-618-5368
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Fax | 786-725-4312
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Provider Business Mailing Address
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Address Line | 2423 SW 147TH AVENUE #369
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City | MIAMI
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State | FL
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Zip | 33185
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Country | US
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Telephone | 786-618-5368
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Fax | 786-725-4312
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Authorized Official
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Title or Position | PHARMACIST
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Name | AMANDA MARIA CRUZ
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Credential |
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Telephone | 786-618-5368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 333600000X
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Taxonomy Name | Pharmacy
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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