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General NPI Number Information
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NPI Number | 1235474099
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Entity Type | Organization
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Legal Business Name | EXCELLENT CARE INCORPORATED
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 1801 NW 134TH ST
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City | MIAMI
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State | FL
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Zip | 33167-1545
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Country | US
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Telephone | 305-687-1853
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 823038
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City | PEMBROKE PINES
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State | FL
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Zip | 33082-3038
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Country | US
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Telephone | 954-865-8085
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK BLANC
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Credential |
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Telephone | 305-865-8085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | FL
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