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General NPI Number Information
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NPI Number | 1205265659
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Entity Type | Organization
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Legal Business Name | THERE CARE, PA
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 334 MILITARY BLVD
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City | ORMOND BEACH
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State | FL
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Zip | 32174-6019
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Country | US
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Telephone | 386-366-0191
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Fax | 386-673-3210
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Provider Business Mailing Address
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Address Line | 226 N NOVA RD SUITE 383
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5124
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Country | US
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Telephone | 386-366-0191
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Fax | 386-673-3210
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMUEL DOUGLAS MILLER
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Credential | M.D.
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Telephone | 386-366-0191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME107699
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License Number State | FL
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