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General NPI Number Information
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NPI Number | 1295076305
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Entity Type | Organization
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Legal Business Name | WELLCARE, INC.
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 1096 MECHEM DRIVE, SUITE 302B
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City | RUIDOSO
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State | NM
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Zip | 88345-7057
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Country | US
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Telephone | 575-258-0028
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Fax | 575-258-2648
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Provider Business Mailing Address
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Address Line | 6688 N CENTRAL EXPY SUITE 1300
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City | DALLAS
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State | TX
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Zip | 75206-3950
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Country | US
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Telephone | 214-239-6500
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Fax | 214-239-6581
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Authorized Official
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Title or Position | EVP OF HOME HEALTH OPERATIONS
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Name | JULIE DIANE JOLLEY
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Credential |
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Telephone | 214-239-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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