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General NPI Number Information
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NPI Number | 1649562026
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Entity Type | Organization
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Legal Business Name | CAREMANAGED, LLC
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 19115 NATURE PALM LN
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City | TAMPA
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State | FL
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Zip | 33647-3248
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Country | US
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Telephone | 813-903-0700
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Fax | 813-971-6734
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Provider Business Mailing Address
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Address Line | 19115 NATURE PALM LN
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City | TAMPA
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State | FL
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Zip | 33647-3248
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Country | US
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Telephone | 813-903-0700
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Fax | 813-971-6734
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Authorized Official
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Title or Position | CEO
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Name | CAROL A BRADDY
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Credential | RN
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Telephone | 813-903-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | RN1932042
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License Number State | FL
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