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General NPI Number Information
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NPI Number | 1699576462
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Entity Type | Organization
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Legal Business Name | CARECO LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1501 S CLINTON ST
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City | BALTIMORE
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State | MD
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Zip | 21224-5730
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Country | US
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Telephone | 410-998-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 S CLINTON ST
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City | BALTIMORE
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State | MD
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Zip | 21224-5730
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Country | US
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Telephone | 410-998-7873
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Fax |
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Authorized Official
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Title or Position | VP COST OF CARE, CARE PARTNERSHIP
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Name | TROY R SMITH
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Credential |
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Telephone | 919-259-0524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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