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General NPI Number Information
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NPI Number | 1821614702
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE RESOURCES, INC.
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 106 BOSTON AVE STE 204
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4712
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Country | US
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Telephone | 407-401-7457
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Fax | 754-210-2734
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Provider Business Mailing Address
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Address Line | 15800 PINES BLVD STE 330
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1212
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Country | US
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Telephone | 954-362-5432
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VICTORIA BARNHART
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Credential |
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Telephone | 877-287-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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