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General NPI Number Information
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NPI Number | 1346270279
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Entity Type | Organization
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Legal Business Name | SENIOR CARE SPECIALISTS INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4000 SW 20TH AVENUE
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City | GAINESVILLE
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State | FL
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Zip | 32601
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Country | US
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Telephone | 352-377-1981
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Fax | 352-377-0277
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Provider Business Mailing Address
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Address Line | 15260 NW 147 DRIVE
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City | ALACHUA
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State | FL
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Zip | 32615
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Country | US
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Telephone | 386-418-1222
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Fax | 386-418-0622
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Authorized Official
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Title or Position | OWNER
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Name | JAMES W MCCAULEY
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Credential | MD
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Telephone | 386-418-1222
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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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