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General NPI Number Information
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NPI Number | 1194039826
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Entity Type | Organization
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Legal Business Name | NEWCARE MEDICAL GROUP
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 898 N FAIR OAKS AVE STE G
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City | PASADENA
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State | CA
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Zip | 91103-3068
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Country | US
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Telephone | 310-201-0757
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Fax |
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Provider Business Mailing Address
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Address Line | 466 FOOTHILL BLVD #391
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City | LA CANADA
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State | CA
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Zip | 91011-3518
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Country | US
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Telephone | 310-201-0757
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Fax | 310-601-1800
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ALAN MARKIE
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Credential | M.D.
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Telephone | 310-201-0757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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