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General NPI Number Information
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NPI Number | 1962398867
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Entity Type | Organization
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Legal Business Name | NP CARE VIP LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 6405 NW 36TH ST STE 116
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6977
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Country | US
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Telephone | 786-399-2289
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Fax |
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Provider Business Mailing Address
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Address Line | 7450 SW 64TH CT
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4610
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Country | US
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Telephone | 786-399-2289
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | LISANDRA SANTOS DEL CASTILLO
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Credential |
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Telephone | 786-399-2289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 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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