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General NPI Number Information
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NPI Number | 1447194154
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Entity Type | Organization
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Legal Business Name | SGC CARE LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 12 E GROVE AVE
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City | LAKE WALES
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State | FL
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Zip | 33853-4760
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Country | US
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Telephone | 917-740-3853
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SKYLARK DR
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City | SPRING VALLEY
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State | NY
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Zip | 10977-1311
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHLOMO ZALMEN BREUER
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Credential |
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Telephone | 917-740-3853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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