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General NPI Number Information
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NPI Number | 1699456335
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Entity Type | Organization
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Legal Business Name | TRUCARE MANAGEMENT CORP
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 414 SW 140TH TER STE 180
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City | NEWBERRY
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State | FL
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Zip | 32669-5432
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Country | US
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Telephone | 954-699-8712
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Fax |
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Provider Business Mailing Address
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Address Line | 14900 SW 30TH ST UNIT 277884
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City | MIRAMAR
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State | FL
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Zip | 33027-7220
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Country | US
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Telephone | 954-699-8712
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. RUTH ROBINSON
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Credential | RN
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Telephone | 954-699-8712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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