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General NPI Number Information
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NPI Number | 1174740955
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Entity Type | Organization
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Legal Business Name | EURCOCARE MEDICAL CENTER INC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 922 HIGHWAY 81 E # 365
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City | MCDONOUGH
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State | GA
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Zip | 30252-2978
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Country | US
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Telephone | 866-809-0403
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Fax |
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Provider Business Mailing Address
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Address Line | 11014 N DALE MABRY HWY #504
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City | TAMPA
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State | FL
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Zip | 33618-3800
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Country | US
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Telephone | 813-269-4000
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Fax | 813-269-4002
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ABIGAIL MONTANA
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Credential |
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Telephone | 866-809-0403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | HCCR 2946
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License Number State | FL
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