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General NPI Number Information
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NPI Number | 1720796386
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Entity Type | Organization
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Legal Business Name | WE CARE FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 15600 SW 288TH ST STE 301
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City | HOMESTEAD
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State | FL
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Zip | 33033-1249
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Country | US
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Telephone | 305-423-0420
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Fax | 305-423-0421
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Provider Business Mailing Address
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Address Line | 15600 SW 288TH ST STE 301
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City | HOMESTEAD
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State | FL
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Zip | 33033-1249
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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
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Name | MASSIEL DEL PINO
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Credential |
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Telephone | 305-423-0420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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