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General NPI Number Information
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NPI Number | 1336070572
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Entity Type | Organization
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Legal Business Name | CARESOLA MEDICAL SERVICES PA
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 205 W GRAND AVE STE 120
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City | BENSENVILLE
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State | IL
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Zip | 60106-3351
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Country | US
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Telephone | 941-315-9429
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Fax | 941-315-9439
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Provider Business Mailing Address
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Address Line | 1903 NORTHGATE BLVD STE 116
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City | SARASOTA
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State | FL
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Zip | 34234-2143
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Country | US
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Telephone | 941-315-9429
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Fax | 941-315-9439
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Authorized Official
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Title or Position | ADVISOR
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Name | THOMAS BARNES
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Credential |
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Telephone | 973-943-0967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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