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General NPI Number Information
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NPI Number | 1750374906
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Entity Type | Organization
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Legal Business Name | CARUSO MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 3324 COMMERCE CENTER LN
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City | SEBRING
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State | FL
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Zip | 33870-5542
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Country | US
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Telephone | 863-471-3344
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Fax | 863-471-1896
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Provider Business Mailing Address
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Address Line | 3324 COMMERCE CENTER LN
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City | SEBRING
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State | FL
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Zip | 33870-5542
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Country | US
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Telephone | 863-471-3344
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Fax | 863-471-1896
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Authorized Official
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Title or Position | DO
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Name | DR. JOHN R CARUSO
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Credential | DO
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Telephone | 863-471-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA0003689
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT0016172
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS0004638
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License Number State | FL
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