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General NPI Number Information
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NPI Number | 1619189552
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Entity Type | Organization
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Legal Business Name | INFORMED CARE SOLUTIONS, INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 507 GRANDSHIRE DR
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-6929
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Country | US
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Telephone | 724-935-3728
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6250
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-6250
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP CLINICAL SERVICES
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Name | CYNTHIA THOMAS
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Credential |
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Telephone | 434-823-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD051075L
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License Number State | PA
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