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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1831397579 |
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| LBN Legal business name | CORPORATE HEALTH CARE PSC | ||||||||
| Authorized official | JACOB BLUM - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/03/2007 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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CORPORATE HEALTH CARE PSC
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CORPORATE HEALTH CARE PSC