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General NPI Number Information
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NPI Number | 1336558410
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Entity Type | Organization
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Legal Business Name | B & M CARE LLC
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 2895 SE 2ND ST
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7644
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Country | US
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Telephone | 561-577-8095
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 W PALMETTO PARK RD STE. #15 #128
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City | BOCA RATON
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State | FL
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Zip | 33433-3426
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Country | US
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Telephone | 561-577-8095
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH MURRY
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Credential |
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Telephone | 561-577-8095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 10D2077712
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License Number State | FL
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