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General NPI Number Information
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NPI Number | 1063906121
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Entity Type | Organization
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Legal Business Name | VIRTUAL CARE MANAGEMENT LLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 1265 PATERSON PLANK RD FL 1
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City | SECAUCUS
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State | NJ
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Zip | 07094-3242
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Country | US
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Telephone | 973-370-2860
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WALNUT AVE STE 210
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City | CLARK
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State | NJ
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Zip | 07066-1247
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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 | OWNER
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Name | KAMALESH SHAH
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Credential | MD
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Telephone | 201-803-3397
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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