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General NPI Number Information
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NPI Number | 1083758312
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Entity Type | Organization
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Legal Business Name | CARE PROVIDER SERVICES, INC
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2979 PGA BLVD STE 225
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2911
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Country | US
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Telephone | 561-630-0884
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Fax | 561-273-6184
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Provider Business Mailing Address
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Address Line | 2979 PGA BLVD STE 225
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2911
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Country | US
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Telephone | 561-630-0884
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Fax | 561-273-6184
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH FAGO
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Credential |
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Telephone | 561-626-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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