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General NPI Number Information
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NPI Number | 1891110649
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Entity Type | Organization
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Legal Business Name | CARENATIONAL HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 1806 N FLAMINGO RD SUITE 285
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1026
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Country | US
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Telephone | 954-252-8829
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Fax | 954-252-8942
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Provider Business Mailing Address
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Address Line | 1806 N FLAMINGO RD SUITE 285
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1026
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Country | US
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Telephone | 954-252-8829
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Fax | 954-252-8942
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARLOS PEREZ
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Credential |
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Telephone | 954-608-4140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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