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General NPI Number Information
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NPI Number | 1063968105
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Entity Type | Organization
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Legal Business Name | HEALTHCAR, LLC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 2109 HIGHCOURT LN APT 103
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City | HERNDON
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State | VA
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Zip | 20170-5818
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Country | US
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Telephone | 571-239-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 HIGHCOURT LN APT 103
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City | HERNDON
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State | VA
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Zip | 20170-5818
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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 | FOUNDER, CEO
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Name | MR. KASHIF MALIK
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Credential |
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Telephone | 571-239-1139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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