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General NPI Number Information
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NPI Number | 1083443857
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Entity Type | Organization
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Legal Business Name | A & B MEDICAL INTEGRATED CARE INC
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Dates
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Enumeration Date | 07/30/2024
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 1931 NW 150TH AVE STE 278
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2885
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Country | US
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Telephone | 954-406-5220
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Fax | 754-348-0098
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Provider Business Mailing Address
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Address Line | 1931 NW 150TH AVE STE 278
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2885
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Country | US
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Telephone | 954-406-5220
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Fax | 754-484-3904
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | BOBY UKKEN
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Credential |
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Telephone | 954-330-8873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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