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General NPI Number Information
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NPI Number | 1124800875
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Entity Type | Organization
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Legal Business Name | CARBON HEALTH MEDICAL GROUP OF FLORIDA PA
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 3532 W CHESTER PIKE STE 20
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4100
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Country | US
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Telephone | 610-827-5108
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 FRANKLIN ST STE 355
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City | OAKLAND
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State | CA
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Zip | 94612-3140
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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 | DIRECTOR
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Name | MARLEY PAGE
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Credential |
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Telephone | 417-861-9739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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