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General NPI Number Information
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NPI Number | 1730754359
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Entity Type | Organization
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Legal Business Name | CONTIGO HEALTHCARE LLC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 701 PROMENADE DR STE 106
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-6013
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Country | US
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Telephone | 757-353-2325
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Fax |
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Provider Business Mailing Address
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Address Line | 701 PROMENADE DR STE 106
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-6013
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Country | US
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Telephone | 757-353-2325
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. JENYFER SAMPER
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Credential |
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Telephone | 757-353-2325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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