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General NPI Number Information
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NPI Number | 1508979659
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Entity Type | Organization
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Legal Business Name | SPECIAL CARE, INC.
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 760 PONCE DE LEON BLVD STE. 101
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City | CORAL GABLES
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State | FL
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Zip | 33134-2075
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Country | US
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Telephone | 305-888-6066
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Fax | 305-888-9085
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Provider Business Mailing Address
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Address Line | 760 PONCE DE LEON BLVD STE. 101
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City | CORAL GABLES
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State | FL
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Zip | 33134-2075
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Country | US
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Telephone | 305-888-6066
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Fax | 305-888-9085
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILFRED BRACERAS
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Credential |
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Telephone | 305-888-6066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 21085096
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License Number State | FL
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