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General NPI Number Information
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NPI Number | 1386048429
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Entity Type | Organization
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Legal Business Name | CAREMORE HEALTH PLAN
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 3300 E SOUTH ST #102
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City | LAKEWOOD
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State | CA
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Zip | 90805-4549
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Country | US
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Telephone | 562-232-1144
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Fax |
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Provider Business Mailing Address
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Address Line | 12900 PARK PLAZA DR
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City | CERRITOS
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State | CA
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Zip | 90703-9329
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Country | US
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Telephone | 562-622-2900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | SACHIN JAIN
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Credential |
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Telephone | 882-911-3588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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