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General NPI Number Information
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NPI Number | 1932835360
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Entity Type | Organization
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Legal Business Name | OUR CARE PLUS
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 1700 N DIXIE HWY STE 140
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City | BOCA RATON
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State | FL
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Zip | 33432-1808
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Country | US
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Telephone | 727-415-2308
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Fax |
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Provider Business Mailing Address
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Address Line | 5260 78TH AVE N UNIT 1562
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City | PINELLAS PARK
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State | FL
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Zip | 33780-8062
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Country | US
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Telephone | 727-415-2308
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | MICHAEL PAUL BAGBY
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Credential |
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Telephone | 727-415-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 261QG0250X
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Taxonomy Name | Genetics 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 | 261QH0100X
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Taxonomy Name | Health Service 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 | 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 #6
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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