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General NPI Number Information
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NPI Number | 1033354550
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Entity Type | Organization
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Legal Business Name | MY CARE NOW, LLC
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 90 BEAVER DR BUILDING C
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City | DU BOIS
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State | PA
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Zip | 15801-2440
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Country | US
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Telephone | 814-371-2273
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Fax | 814-371-2500
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Provider Business Mailing Address
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Address Line | 90 BEAVER DR BUILDING C
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City | DU BOIS
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State | PA
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Zip | 15801-2440
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Country | US
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Telephone | 814-371-2273
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Fax | 814-371-2500
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC P PECK
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Credential | D.O.
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Telephone | 814-371-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS010983L
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License Number State | PA
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