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General NPI Number Information
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NPI Number | 1114188976
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Entity Type | Organization
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Legal Business Name | AFFORDABLE MEDICAL CARE LLC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 900 E COMMERCE ST
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City | HERNANDO
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State | MS
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Zip | 38632-2433
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Country | US
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Telephone | 662-429-9111
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Fax | 662-429-6111
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | HERNANDO
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State | MS
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Zip | 38632-0326
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Country | US
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Telephone | 662-429-9111
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Fax | 662-429-6111
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Authorized Official
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Title or Position | MANAGER
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Name | MS. SUNITA PAREEK
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Credential |
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Telephone | 662-429-9111
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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 | 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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