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General NPI Number Information
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NPI Number | 1184534240
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Entity Type | Organization
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Legal Business Name | SPECIALTY CARE LLC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 13001 SOUTHERN BLVD
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9203
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Country | US
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Telephone | 561-798-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MARYLAND FARMS STE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-5780
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Country | US
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Telephone | 800-633-3445
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Fax |
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Authorized Official
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Title or Position | SURGICAL ASSISTANT
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Name | MR. JORGE EHANDRY RIVERO
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Credential | CSFA
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Telephone | 561-386-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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