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General NPI Number Information
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NPI Number | 1053938894
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Entity Type | Organization
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Legal Business Name | AMERICAN ECARE TELEHEALTH PLLC
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Dates
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Enumeration Date | 06/27/2020
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Last Update Date | 06/27/2020
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Provider Practice Location Address
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Address Line | 5312 POMFRET PT
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City | RALEIGH
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State | NC
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Zip | 27612-3683
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Country | US
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Telephone | 518-345-3050
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Fax |
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Provider Business Mailing Address
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Address Line | 3 COMPUTER DR W STE 107
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City | ALBANY
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State | NY
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Zip | 12205-1621
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Country | US
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Telephone | 518-345-3050
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Fax | 866-277-0792
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Authorized Official
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Title or Position | MANAGER
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Name | MUSTAPHA BENMOUSSA
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Credential |
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Telephone | 765-409-4813
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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 |
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License Number State |
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