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General NPI Number Information
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NPI Number | 1912331992
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Entity Type | Organization
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Legal Business Name | COMMUNICARE HEALTHCARE SERVICES
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 9050 PINES BLVD STE 370
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6400
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Country | US
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Telephone | 954-362-7058
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Fax | 754-400-8934
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Provider Business Mailing Address
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Address Line | 9050 PINES BLVD STE 370
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6400
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Country | US
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Telephone | 954-362-7058
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Fax | 754-400-8934
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Authorized Official
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Title or Position | CEO/ HEAD ADMINISTRATOR
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Name | MS. LORETTA A MOORE
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Credential | RN
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Telephone | 954-362-7058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 30211661
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License Number State | FL
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