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General NPI Number Information
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NPI Number | 1851767867
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Entity Type | Organization
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Legal Business Name | CARE CORE PT,LLC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 10 MECHANIC ST SUITE 150
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City | RED BANK
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State | NJ
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Zip | 07701-1858
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Country | US
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Telephone | 732-345-7241
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Fax | 732-345-7348
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Provider Business Mailing Address
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Address Line | 10 MECHANIC ST SUITE 150
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City | RED BANK
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State | NJ
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Zip | 07701-1858
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Country | US
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Telephone | 732-345-7241
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Fax | 732-345-7348
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Authorized Official
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Title or Position | OWNER
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Name | SHIRLEY CABRERA
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Credential |
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Telephone | 732-470-2627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 40QA1086600
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License Number State | NJ
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