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General NPI Number Information
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NPI Number | 1083587018
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Entity Type | Organization
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Legal Business Name | PEDIATRIC CARE CENTER P C
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1265 WAYNE AVE STE 309
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City | INDIANA
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State | PA
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Zip | 15701-3501
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Country | US
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Telephone | 724-349-1310
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Fax | 724-397-2420
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Provider Business Mailing Address
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Address Line | PO BOX 268
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City | MARION CENTER
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State | PA
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Zip | 15759-0268
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Country | US
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Telephone | 724-397-2326
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Fax | 724-397-2420
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Authorized Official
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Title or Position | OWNER
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Name | RIZWAN JABIR
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Credential | MD
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Telephone | 724-388-3127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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