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General NPI Number Information
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NPI Number | 1184125437
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Entity Type | Organization
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Legal Business Name | NAVICARE LLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 4795 RIVERSIDE DR
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City | MACON
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State | GA
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Zip | 31210-1115
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Country | US
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Telephone | 478-621-4447
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Fax | 478-621-7420
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Provider Business Mailing Address
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Address Line | 401 MALL BLVD STE 202E
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City | SAVANNAH
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State | GA
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Zip | 31406-4834
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Country | US
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Telephone | 912-349-4945
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Fax | 912-349-4105
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Authorized Official
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Title or Position | PATIENT SERVICES MANAGER
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Name | AMANDA JACKSON
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Credential |
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Telephone | 912-349-4945
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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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