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General NPI Number Information
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NPI Number | 1629281183
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Entity Type | Organization
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Legal Business Name | CARO CLINIC, A.P.M.C.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 609 E WORTHY ST
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City | GONZALES
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State | LA
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Zip | 70737-4240
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Country | US
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Telephone | 225-647-6533
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Fax | 225-644-7533
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | GONZALES
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State | LA
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Zip | 70707-0459
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Country | US
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Telephone | 225-647-6533
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Fax | 225-644-7533
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD J CARO
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Credential | M.D.
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Telephone | 225-647-5526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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