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General NPI Number Information
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NPI Number | 1558270488
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Entity Type | Organization
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Legal Business Name | COMMODORE CARES
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 9152 ESTATE THOMAS
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City | ST THOMAS
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State | VI
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Zip | 00802-2687
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Country | US
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Telephone | 340-203-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 745 5TH AVE FL 5
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City | NEW YORK
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State | NY
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Zip | 10151-0502
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Country | US
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Telephone | 516-729-5340
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Fax |
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Authorized Official
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Title or Position | FOUNDER, BOARD PRESIDENT
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Name | MS. JEANNEMARIE BOZZA
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Credential | RN
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Telephone | 561-729-5340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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