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General NPI Number Information
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NPI Number | 1851161392
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Entity Type | Organization
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Legal Business Name | CAPE ACUTE MEDICAL CARE, LLC
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 122 4TH AVE STE 100
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City | INDIALANTIC
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State | FL
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Zip | 32903-3112
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Country | US
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Telephone | 321-258-2831
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2017
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City | MELBOURNE
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State | FL
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Zip | 32902-2017
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Country | US
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Telephone | 321-258-2831
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ELIZABETH VANHEMEL
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Credential |
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Telephone | 321-258-2831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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