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General NPI Number Information
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NPI Number | 1124990726
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Entity Type | Organization
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Legal Business Name | MICHAEL CARE FAMILY HEALTH NP PC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 381 OLD COURTHOUSE RD
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1132
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Country | US
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Telephone | 646-673-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 381 OLD COURTHOUSE RD
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1132
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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 | OWNER
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Name | SAMUEL MICHAEL
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Credential |
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Telephone | 323-676-1281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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