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General NPI Number Information
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NPI Number | 1598309916
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Entity Type | Organization
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Legal Business Name | CAREFIRST HEALTHCARE SOLUTIONS LLC
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 1511 BUENOS AIRES BLVD
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City | LADY LAKE
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State | FL
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Zip | 32159-8974
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Country | US
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Telephone | 352-259-2159
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 SANTA BARBARA BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32159-6827
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Country | US
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Telephone | 352-259-2159
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | CYNTHIA ROMSKA
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Credential |
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Telephone | 352-259-2159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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