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General NPI Number Information
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NPI Number | 1275178964
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Entity Type | Organization
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Legal Business Name | VALUE-BASED CARE LLC
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Dates
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Enumeration Date | 11/17/2019
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Last Update Date | 11/17/2019
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Provider Practice Location Address
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Address Line | 4201 RENAISSANCE WAY
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8232
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Country | US
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Telephone | 786-523-3179
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 RENAISSANCE WAY
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8232
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Country | US
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Telephone | 786-523-3179
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JEAN DOMINIQUE MORANCY
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Credential | MD, MPH, MBA
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Telephone | 786-523-3179
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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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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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