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General NPI Number Information
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NPI Number | 1265673461
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Entity Type | Organization
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Legal Business Name | PREFERRED CARE MANAGEMENT
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 19451 SHERIDAN STREET SUITE 176
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City | PEMBROKE PINES
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State | FL
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Zip | 33332
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Country | US
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Telephone | 800-334-6149
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Fax | 954-337-2644
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Provider Business Mailing Address
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Address Line | 19451 SHERIDAN STREET SUITE 176
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City | PEMBROKE PINES
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State | FL
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Zip | 33332
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Country | US
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Telephone | 800-334-6149
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Fax | 954-337-2644
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUAN MARTINEZ
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Credential |
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Telephone | 800-334-6149
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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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