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General NPI Number Information
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NPI Number | 1235338211
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Entity Type | Organization
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Legal Business Name | CAREMAX MEDICAL RESOURCES, LLC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 373 INVERNESS PKWY SUITE 207
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City | CENTENNIAL
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State | CO
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Zip | 80112-5814
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Country | US
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Telephone | 303-662-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 13111 COLLECTION CENTER DR
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City | CHICAGO
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State | IL
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Zip | 60693-0131
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | BRYANT MOSHANG
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Credential |
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Telephone | 410-910-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PDO-679
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License Number State | CO
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