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General NPI Number Information
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NPI Number | 1467636191
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Entity Type | Organization
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Legal Business Name | EXOTIC CARE INC
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 5440 NW 12TH ST
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City | LAUDERHILL
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State | FL
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Zip | 33313-6415
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Country | US
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Telephone | 954-658-0855
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Fax | 954-658-0855
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Provider Business Mailing Address
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Address Line | 5440 NW 12TH ST
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City | LAUDERHILL
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State | FL
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Zip | 33313-6415
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Country | US
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Telephone | 954-658-0855
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Fax | 954-658-0855
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. MARION C RAMCHARAN
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Credential | REGISTERED NURSE
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Telephone | 954-658-0855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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