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General NPI Number Information
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NPI Number | 1174384952
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Entity Type | Organization
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Legal Business Name | CARITAS WELLNESS, LLC
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 1819 13TH AVE N
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City | BESSEMER
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State | AL
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Zip | 35020-3246
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Country | US
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Telephone | 205-894-8780
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 PRIMROSE LN
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City | HOOVER
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State | AL
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Zip | 35244-4145
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Country | US
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Telephone | 205-305-7399
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT PATRICK DEVEREUX
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Credential | PHARMD
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Telephone | 205-305-7399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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