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General NPI Number Information
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NPI Number | 1760763056
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE HEALTH CARE INC
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 11/06/2021
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Provider Practice Location Address
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Address Line | 1190 NW 95TH ST STE 203
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City | MIAMI
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State | FL
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Zip | 33150-2064
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Country | US
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Telephone | 305-693-0000
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Fax | 888-717-7671
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Provider Business Mailing Address
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Address Line | 1190 NW 95TH ST STE 203
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City | MIAMI
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State | FL
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Zip | 33150-2064
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Country | US
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Telephone | 305-693-0000
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Fax | 888-717-7671
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. MARK SPENCE
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Credential | MD
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Telephone | 305-693-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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