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General NPI Number Information
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NPI Number | 1538359278
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Entity Type | Organization
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Legal Business Name | CAREIQ
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 2020 NW 150TH AVE SUITE 304
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2805
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Country | US
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Telephone | 954-744-5674
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Fax | 866-432-0593
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Provider Business Mailing Address
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Address Line | 2020 NW 150TH AVE SUITE 304
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2805
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Country | US
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Telephone | 954-744-5674
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Fax | 866-432-0593
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Authorized Official
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Title or Position | BRANCH MANAGER
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Name | MRS. ARLENE CHEJANOVSKI
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Credential |
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Telephone | 954-744-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 261QR0200X
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License Number State | FL
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