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General NPI Number Information
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NPI Number | 1790432086
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Entity Type | Organization
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Legal Business Name | DIVERSE CARE NOW, LLC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 2700 NE 14TH ST # 101
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3561
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Country | US
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Telephone | 754-752-1888
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Fax | 754-752-1908
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Provider Business Mailing Address
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Address Line | 2700 NE 14TH ST # 101
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3561
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Country | US
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Telephone | 754-752-1888
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | LAURA UCHOA
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Credential | NP
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Telephone | 754-752-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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