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General NPI Number Information
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NPI Number | 1093717464
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Entity Type | Organization
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Legal Business Name | CARE RESOURCE COMMUNITY HEALTH CENTERS, INC
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 871 W OAKLAND PARK BLVD
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City | WILTON MANORS
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State | FL
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Zip | 33311
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Country | US
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Telephone | 954-567-7141
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Fax | 954-565-5624
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Provider Business Mailing Address
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Address Line | 3510 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33137-3859
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Country | US
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Telephone | 305-576-1234
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Fax | 305-571-2020
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Authorized Official
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Title or Position | CEO
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Name | DR. STEVEN SANTIAGO
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Credential | MD
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Telephone | 305-576-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | FL
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