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General NPI Number Information
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NPI Number | 1669917282
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Entity Type | Organization
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Legal Business Name | NOVELTY CARE SOLUTIONS
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 7000 SW 9TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33023-1639
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Country | US
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Telephone | 954-278-0971
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 SW 9TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33023-1639
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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 | ADMINISTRATOR/ CEO
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Name | MR. EDDY BLAIN
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Credential |
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Telephone | 954-278-0971
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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 | 234326
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License Number State | FL
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