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General NPI Number Information
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NPI Number | 1952112591
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Entity Type | Organization
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Legal Business Name | CORA HEALTH SERVICES, INC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1700 W WOOLBRIGHT RD STE 1
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6346
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Country | US
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Telephone | 561-336-0112
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Fax | 561-537-8635
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Provider Business Mailing Address
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Address Line | PO BOX 150
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City | LIMA
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State | OH
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Zip | 45802-0150
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Country | US
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Telephone | 419-216-9913
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Fax |
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Authorized Official
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Title or Position | PAYER RELATIONS MANAGER
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Name | ANDREA K BEACH
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Credential |
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Telephone | 419-216-9913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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