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General NPI Number Information
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NPI Number | 1437768116
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Entity Type | Organization
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Legal Business Name | CARE FOR YOU MEDICAL CENTER MARGATE, LLC
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 5412 WEST ATLANTIC BLVD
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City | MARGATE
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State | FL
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Zip | 33063
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Country | US
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Telephone | 954-558-4717
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Fax | 954-558-4717
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Provider Business Mailing Address
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Address Line | 5412 W ATLANTIC BLVD
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City | MARGATE
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State | FL
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Zip | 33063-5209
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Country | US
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Telephone | 954-558-4717
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Fax | 954-827-8144
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TANISHA HODGE
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Credential |
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Telephone | 954-558-4717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #9
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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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