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General NPI Number Information
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NPI Number | 1871104091
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Entity Type | Organization
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Legal Business Name | UCCARE HEALTH LLC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 1807 BERKSHIRE CIR SW
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City | VERO BEACH
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State | FL
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Zip | 32968-6720
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Country | US
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Telephone | 561-294-5184
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Fax | 772-492-3877
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Provider Business Mailing Address
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Address Line | 1807 BERKSHIRE CIR SW
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City | VERO BEACH
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State | FL
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Zip | 32968-6720
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Country | US
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Telephone | 561-294-5184
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Fax | 772-492-3877
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | COLEEN COLLINS
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Credential | NP
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Telephone | 561-294-5184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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