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General NPI Number Information
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NPI Number | 1235008921
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Entity Type | Organization
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Legal Business Name | CAREPATROL OF NW MIAMI-DADE & GREATER FT LAUDERDALE
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Dates
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Enumeration Date | 11/01/2025
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 9400 NW 10TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-4404
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Country | US
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Telephone | 954-380-8780
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Fax | 954-380-8780
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Provider Business Mailing Address
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Address Line | 9400 NW 10TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-4404
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Country | US
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Telephone | 954-380-8780
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Fax | 954-380-8780
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Authorized Official
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Title or Position | OWNER
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Name | NICKIE DIFEDE
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Credential |
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Telephone | 954-380-8780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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