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General NPI Number Information
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NPI Number | 1982786976
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE PROVIDERS, INC.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 10031 PINES BLVD STE 105
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-431-4245
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Fax | 954-431-4246
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Provider Business Mailing Address
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Address Line | 10031 PINES BLVD STE 105
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6185
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Country | US
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Telephone | 954-431-4245
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Fax | 954-431-4246
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Authorized Official
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Title or Position | PRESIDENT/CFO
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Name | HUGO A LARA
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Credential |
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Telephone | 954-431-4245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299992475
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License Number State | FL
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