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General NPI Number Information
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NPI Number | 1215359286
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Entity Type | Organization
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Legal Business Name | VALUECARE FAMILY CLINIC INC
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 3898 W COMMERCIAL BLVD
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City | TAMARAC
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State | FL
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Zip | 33309-3326
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Country | US
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Telephone | 954-918-1529
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 ENVIRON BLVD APT 507
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City | LAUDERHILL
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State | FL
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Zip | 33319-4272
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Country | US
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Telephone | 954-918-1529
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITA GERMAIN
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Credential | ARNP
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Telephone | 954-918-1529
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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 | ARNP9267853
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License Number State | FL
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