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General NPI Number Information
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NPI Number | 1992694624
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Entity Type | Organization
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Legal Business Name | DORICARE LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2551 SW CHOCTAW ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2749
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Country | US
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Telephone | 754-422-4913
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Fax | 772-204-2480
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Provider Business Mailing Address
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Address Line | 2551 SW CHOCTAW ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2749
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Country | US
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Telephone | 754-422-4913
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Fax | 772-204-2480
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Authorized Official
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Title or Position | RN/ADMINISTRATOR
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Name | DAPHENEE L DORIZAN
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Credential |
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Telephone | 754-422-4913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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