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General NPI Number Information
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NPI Number | 1043985120
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Entity Type | Organization
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Legal Business Name | US CAREWAYS-DCA, PLLC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 2401 SMITH BLVD BLDG 12201 NATIONAL HALL B2-508
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City | ARLINGTON
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State | VA
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Zip | 22202
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Country | US
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Telephone | 703-417-4568
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Fax |
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Provider Business Mailing Address
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Address Line | 14818 N 74TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JOHN J SHUFELDT
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Credential | MD
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Telephone | 480-221-8059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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