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General NPI Number Information
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NPI Number | 1154493203
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Entity Type | Organization
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Legal Business Name | CLINICARE MEDICAL RESOURCES, INC.
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 9245 LAZY LN
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City | TAMPA
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State | FL
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Zip | 33614-1595
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Country | US
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Telephone | 813-935-1341
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Fax | 813-935-8770
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Provider Business Mailing Address
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Address Line | 9245 LAZY LN
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City | TAMPA
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State | FL
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Zip | 33614-1595
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Country | US
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Telephone | 813-935-1341
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Fax | 813-935-8770
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN ALLEN PRICE
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Credential |
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Telephone | 813-935-1341
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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 | HME 1069
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | ORF 167
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License Number State | FL
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