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General NPI Number Information
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NPI Number | 1265170047
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Entity Type | Organization
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Legal Business Name | Q CARE PLUS MEDICAL CALIFORNIA, PC
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 4560 MOUNT TAYLOR DR
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City | SANTA ROSA
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State | CA
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Zip | 95404-6225
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Country | US
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Telephone | 415-572-2394
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 2ND ST STE 735
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City | SARASOTA
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State | FL
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Zip | 34236-5966
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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 | DIRECTOR OF BUSINESS DEVELOPMENT
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Name | JASON SILVERMAN
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Credential |
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Telephone | 732-857-5734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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