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General NPI Number Information
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NPI Number | 1386431708
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Entity Type | Organization
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Legal Business Name | CLINICAL CARE SOLUTIONS LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 4944 SW BERMUDA WAY
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City | PALM CITY
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State | FL
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Zip | 34990-1261
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Country | US
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Telephone | 860-985-8670
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Fax |
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Provider Business Mailing Address
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Address Line | 4944 SW BERMUDA WAY
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City | PALM CITY
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State | FL
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Zip | 34990-1261
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Country | US
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Telephone | 860-985-8670
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NEKISHA HYMAN ISMA
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Credential | NP
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Telephone | 561-805-1140
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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