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General NPI Number Information
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NPI Number | 1518472414
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Entity Type | Organization
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Legal Business Name | 1ST CARE CASE MANAGEMENT SERVICES LLC
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1400 NW 107TH AVE STE 310
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City | SWEETWATER
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State | FL
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Zip | 33172-2746
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Country | US
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Telephone | 786-542-5043
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Fax | 786-542-5049
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Provider Business Mailing Address
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Address Line | 1400 NW 107TH AVE STE 310
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City | SWEETWATER
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State | FL
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Zip | 33172-2746
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Country | US
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Telephone | 786-542-5043
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Fax | 786-542-5049
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDERSON CHAVEZ
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Credential |
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Telephone | 786-542-5043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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