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General NPI Number Information
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NPI Number | 1679594717
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Entity Type | Organization
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Legal Business Name | INCARE MEDICAL SERVICES
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5216 MISTY MORN RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7824
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Country | US
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Telephone | 561-881-9995
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Fax | 561-881-9978
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Provider Business Mailing Address
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Address Line | 11865 US HIGHWAY 1 SUITE B
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-2848
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Country | US
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Telephone | 561-775-6455
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Fax | 561-775-6456
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHEELA R SHAH
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Credential | M.D.
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Telephone | 561-775-6455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0075721
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License Number State | FL
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