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General NPI Number Information
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NPI Number | 1356547335
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Entity Type | Organization
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Legal Business Name | MEDICAL CARE MANAGEMENT INC.
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 7725 SW 129CT
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City | MIAMI
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State | FL
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Zip | 33183
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Country | US
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Telephone | 305-386-6691
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Fax |
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Provider Business Mailing Address
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Address Line | 12924 SW 132ND CT
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City | MIAMI
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State | FL
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Zip | 33186-5819
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Country | US
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Telephone | 305-232-2055
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Fax | 305-232-6114
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TONY M. RIVES
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Credential | MSM, CPUR
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Telephone | 305-232-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 520460-7
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License Number State | FL
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