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General NPI Number Information
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NPI Number | 1821766676
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Entity Type | Organization
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Legal Business Name | ENDOCRINE & DIABETES CARE, PLLC
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Dates
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Enumeration Date | 09/04/2021
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Last Update Date | 05/15/2022
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Provider Practice Location Address
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Address Line | 12559 NEW BRITTANY BLVD
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City | FORT MYERS
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State | FL
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Zip | 33907-3625
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Country | US
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Telephone | 239-333-2580
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Fax | 239-333-2581
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Provider Business Mailing Address
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Address Line | 12559 NEW BRITTANY BLVD
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City | FORT MYERS
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State | FL
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Zip | 33907-3625
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Country | US
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Telephone | 239-333-2580
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Fax | 239-333-2581
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Authorized Official
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Title or Position | MEMBER
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Name | PATRICIA SAREH
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Credential | MD
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Telephone | 305-968-3478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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