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General NPI Number Information
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NPI Number | 1831564533
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Entity Type | Organization
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Legal Business Name | MULTI-CARE ORTHOPEDICS AND SPINAL REHABILITATION, PLLC
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 13701 CYPRESS TERRACE CIR
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City | FORT MYERS
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State | FL
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Zip | 33907-8828
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Country | US
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Telephone | 239-277-1655
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Fax | 239-277-1255
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Provider Business Mailing Address
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Address Line | 13701 CYPRESS TERRACE CIR
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City | FORT MYERS
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State | FL
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Zip | 33907-8828
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Country | US
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Telephone | 239-277-1655
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Fax | 239-277-1255
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Authorized Official
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Title or Position | PRESIDENT
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Name | TONY MAUGERE
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Credential |
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Telephone | 954-682-4881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | FL
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