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General NPI Number Information
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NPI Number | 1407190374
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC CARE LLC
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 4801 S UNIVERSITY DRIVE SUITE #201
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City | DAVIE
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State | FL
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Zip | 33328
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Country | US
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Telephone | 954-252-2844
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 NW 139TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2339
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Country | US
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Telephone | 954-252-2844
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ALKA SINGAL
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Credential | M.D.
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Telephone | 954-252-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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