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General NPI Number Information
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NPI Number | 1962983825
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Entity Type | Organization
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Legal Business Name | CARE360 CORP.
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 8030 NE 5TH AVE STE 4
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City | MIAMI
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State | FL
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Zip | 33138-4510
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Country | US
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Telephone | 954-397-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 8030 NE 5TH AVE STE 4
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City | MIAMI
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State | FL
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Zip | 33138-4510
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Country | US
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Telephone | 954-397-5450
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CLAUDIO BANDIERA
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Credential | PT
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Telephone | 954-397-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT30983
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License Number State | FL
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