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General NPI Number Information
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NPI Number | 1841638590
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Entity Type | Organization
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Legal Business Name | ACARE MANAGEMENT LLC
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 219 MENORES AVE SUITE 1
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City | CORAL GABLES
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State | FL
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Zip | 33134-3945
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Country | US
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Telephone | 305-793-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 219 MENORES AVE SUITE 1
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-793-0626
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUI PARDO
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Credential |
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Telephone | 305-793-0626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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