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General NPI Number Information
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NPI Number | 1265149983
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Entity Type | Organization
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Legal Business Name | DES CARES LLC
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 4106 BAHIA ISLE CIR
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City | WELLINGTON
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State | FL
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Zip | 33449-8307
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Country | US
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Telephone | 561-291-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 LAKE WORTH RD STE 210
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City | GREENACRES
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State | FL
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Zip | 33463-3275
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Country | US
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Telephone | 561-291-7070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DESIREE SIMON
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Credential | ARNP
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Telephone | 561-291-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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