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General NPI Number Information
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NPI Number | 1457887523
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Entity Type | Organization
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Legal Business Name | CARIBBEAN PEDIATRICS INC
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 11750 NW 6TH PLACE
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City | PLANTATION
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State | FL
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Zip | 33325
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Country | US
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Telephone | 305-799-3663
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Fax |
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Provider Business Mailing Address
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Address Line | 11750 NW 6TH PL
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City | PLANTATION
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State | FL
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Zip | 33325-1910
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Country | US
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Telephone | 305-799-3663
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA P BEHARRIE
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Credential | ARNP
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Telephone | 305-799-3663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | ARNP3004472
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License Number State | FL
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