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General NPI Number Information
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NPI Number | 1124032198
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Entity Type | Organization
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Legal Business Name | CAREMAX MEDICAL RESOURCES, LLC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5910 BENJAMIN CENTER DR SUITE 110
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City | TAMPA
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State | FL
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Zip | 33634-5240
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Country | US
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Telephone | 813-887-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 13111 COLLECTION CENTER DR
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City | CHICAGO
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State | IL
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Zip | 60693-0131
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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 | CONTROLLER
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Name | BRYANT MOSHANG
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Credential |
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Telephone | 410-910-1578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1312764
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License Number State | FL
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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 | 112679
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5590
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 721
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | A9-0000676
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License Number State | DE
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Taxonomy #6
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 1964MS
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License Number State | ID
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Taxonomy #7
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 64000732A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 3604
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License Number State | IA
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Taxonomy #9
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 22-02344
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License Number State | KS
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Taxonomy #10
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | FL1144
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License Number State | KY
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Taxonomy #11
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | P04376
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License Number State | MD
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Taxonomy #12
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5301008460
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License Number State | MI
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Taxonomy #13
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH19929
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License Number State | FL
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Taxonomy #14
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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 | IL
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Taxonomy #15
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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 | ME
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