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General NPI Number Information
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NPI Number | 1134940539
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Entity Type | Organization
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Legal Business Name | VCARE TELEMEDICINE PLLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 3817 NUGGET CREEK CT
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City | SAGINAW
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State | MI
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Zip | 48603-1287
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Country | US
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Telephone | 989-233-5738
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5449
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City | SAGINAW
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State | MI
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Zip | 48603-0449
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Country | US
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Telephone | 989-233-5738
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Fax | 989-256-0570
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Authorized Official
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Title or Position | FOUNDER, OWNER, CEO
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Name | DR. QUINTISHA MARIE WALKER
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Credential | MD, MBA
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Telephone | 989-482-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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