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General NPI Number Information
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NPI Number | 1326848045
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Entity Type | Organization
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Legal Business Name | CAREMED RURAL LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1502 NEW COLUMBIA RD
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City | CAMPBELLSVILLE
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State | KY
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Zip | 42718-9321
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Country | US
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Telephone | 201-851-4665
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 KNAPP ST
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City | BROOKLYN
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State | NY
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Zip | 11235-1006
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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 | CEO
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Name | MR. NISSAN FRIEDMAN
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Credential |
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Telephone | 201-851-4665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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