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General NPI Number Information
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NPI Number | 1144129750
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Entity Type | Organization
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Legal Business Name | HOUSE CALLS ON DEMAND PC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 514 S STRATFORD RD STE 400
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1867
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Country | US
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Telephone | 704-538-4395
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Fax |
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Provider Business Mailing Address
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Address Line | 233 SMITH ST
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City | WOODMERE
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State | NY
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Zip | 11598-2931
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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/MEDICAL DIRECTOR
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Name | SEKULEO GATHERS
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Credential | MD
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Telephone | 917-533-7354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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