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General NPI Number Information
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NPI Number | 1235034471
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Entity Type | Organization
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Legal Business Name | PROCARE MANAGEMENT SERVICES LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 11740 NW 30TH PL
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City | SUNRISE
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State | FL
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Zip | 33323-1623
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Country | US
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Telephone | 754-971-9769
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Fax |
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Provider Business Mailing Address
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Address Line | 11740 NW 30TH PL
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City | SUNRISE
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State | FL
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Zip | 33323-1623
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Country | US
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Telephone | 754-971-9769
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Fax |
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Authorized Official
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Title or Position | MBR
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Name | MR. JEAN BERNARD JULIEN
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Credential |
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Telephone | 754-971-9769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | NULL
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