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General NPI Number Information
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NPI Number | 1669393807
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Entity Type | Organization
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Legal Business Name | SQUARE CARE MEDICAL GROUP, LLP
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 222 ROUTE 59 STE 102
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City | SUFFERN
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State | NY
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Zip | 10901-5207
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Country | US
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Telephone | 845-347-2204
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Fax | 845-347-2205
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Provider Business Mailing Address
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Address Line | 5801 POSTAL RD
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City | CLEVELAND
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State | OH
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Zip | 44181-2184
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Country | US
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Telephone | 612-299-1519
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Fax | 516-758-2566
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | MAX DOUGLAS BALDINGER
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Credential |
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Telephone | 561-208-8616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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