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General NPI Number Information
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NPI Number | 1215251855
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Entity Type | Organization
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Legal Business Name | CLINICARE OF BROWARD LLC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 9960 CENTRAL PARK BLVD NORTH SUITE 450
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City | BOCA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 561-353-1225
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Fax | 561-353-9958
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Provider Business Mailing Address
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Address Line | 9960 CENTRAL PARK BLVD NORTH SUITE 450
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City | BOCA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 561-353-1225
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Fax | 561-353-9958
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Authorized Official
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Title or Position | CEO
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Name | MS. TONI TERESI
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Credential |
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Telephone | 561-353-1225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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