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General NPI Number Information
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NPI Number | 1720570252
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Entity Type | Organization
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Legal Business Name | NUCARE FAMILY PRACTICE
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 1900 W OAKLAND PARK BLVD UNIT 5305
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City | OAKLAND PARK
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State | FL
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Zip | 33310-0140
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Country | US
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Telephone | 954-275-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 W OAKLAND PARK BLVD UNIT 5305
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City | OAKLAND PARK
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State | FL
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Zip | 33310-0140
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Country | US
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Telephone | 954-275-0607
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL OFFICER
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Name | M L BATTO
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Credential | FNP
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Telephone | 954-275-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 9257932
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License Number State | FL
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