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General NPI Number Information
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NPI Number | 1235313230
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Entity Type | Organization
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Legal Business Name | C.A.R.E. EVALUATORS, LLC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 111 W VICTORIA ST
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City | LONG BEACH
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State | CA
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Zip | 90805-2162
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Country | US
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Telephone | 949-230-1792
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Fax | 949-448-8037
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Provider Business Mailing Address
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Address Line | 27772 MANOR HILL RD
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-6008
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Country | US
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Telephone | 949-230-1792
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Fax | 949-448-8037
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. DAVID T.W. LEE
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Credential | P.T.
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Telephone | 949-230-1792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 11841
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License Number State | CA
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