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General NPI Number Information
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NPI Number | 1881053684
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Entity Type | Organization
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Legal Business Name | BEST CARE MEDICAL GROUP INC
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 2630 W WATERS AVE
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City | TAMPA
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State | FL
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Zip | 33614-2511
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Country | US
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Telephone | 813-252-3108
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Fax | 813-930-0177
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Provider Business Mailing Address
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Address Line | PO BOX 15575
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City | TAMPA
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State | FL
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Zip | 33684-5575
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Country | US
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Telephone | 813-252-3108
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Fax | 813-930-0177
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORGE CONSUEGRA
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Credential |
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Telephone | 813-454-2715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | HCC10578
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License Number State | FL
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