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General NPI Number Information
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NPI Number | 1518866490
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Entity Type | Organization
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Legal Business Name | MEDCARE ADVANCED LLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 9020 SW 202ND TER
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City | CUTLER BAY
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State | FL
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Zip | 33189-1861
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Country | US
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Telephone | 870-888-0627
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Fax | 870-888-0627
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Provider Business Mailing Address
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Address Line | 1401 LAVACA ST STE 83439
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City | AUSTIN
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State | TX
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Zip | 78701-1634
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Country | US
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Telephone | 870-888-0627
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Fax | 870-888-0627
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Authorized Official
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Title or Position | AP
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Name | LAZARO J ORTEGA RODRIGUEZ
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Credential |
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Telephone | 870-888-0627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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