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General NPI Number Information
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NPI Number | 1629362751
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Entity Type | Organization
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Legal Business Name | OUTSOURCE HEALTH CARE LLC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 10/20/2024
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Provider Practice Location Address
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Address Line | 1400 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-6034
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Country | US
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Telephone | 305-915-8900
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Fax | 305-762-5882
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Provider Business Mailing Address
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Address Line | 1400 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-6034
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Country | US
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Telephone | 305-915-8900
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Fax | 305-892-2554
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Authorized Official
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Title or Position | CEO
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Name | MRS. CAROL JOY BIGGS-OWENS
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Credential | REGISTERED NURSE
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Telephone | 305-915-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN2989182
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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