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General NPI Number Information
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NPI Number | 1730573528
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Entity Type | Organization
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Legal Business Name | CAREMORE LLC
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 4452 EASTGATE BLVD SUITE 202
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City | CINCINNATI
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State | OH
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Zip | 45245-1584
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Country | US
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Telephone | 513-265-6451
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Fax |
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Provider Business Mailing Address
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Address Line | 12900 PARK PLAZA DR SUITE 150
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City | CERRITOS
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State | CA
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Zip | 90703-9329
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Country | US
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Telephone | 562-267-7266
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Fax | 562-622-2818
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Authorized Official
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Title or Position | MANAGER/PRESIDENT
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Name | MS. LEEBA RUTH LESSIN
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Credential |
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Telephone | 562-622-2813
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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 | 2145967
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License Number State | OH
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