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General NPI Number Information
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NPI Number | 1124177951
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Entity Type | Organization
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Legal Business Name | CIRCLES OF CARE INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 2020 COMMERCE DRIVE
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-2335
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Country | US
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Telephone | 321-952-6020
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Fax | 321-952-6037
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Provider Business Mailing Address
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Address Line | 2020 COMMERCE DRIVE
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-2335
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Country | US
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Telephone | 321-952-6020
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Fax | 321-952-6037
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACIES
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Name | LISA B BAUMAN
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Credential | BPHARM
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Telephone | 321-914-4815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH13653
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License Number State | FL
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