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General NPI Number Information
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NPI Number | 1215828348
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Entity Type | Organization
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Legal Business Name | MAXCARE CLINIC LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2714 OSBORNE RD UNIT J&K
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City | SAINT MARYS
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State | GA
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Zip | 31558-4049
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Country | US
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Telephone | 904-386-6785
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 600914
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City | JACKSONVILLE
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State | FL
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Zip | 32260-0914
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Country | US
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Telephone | 904-386-6785
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ANKURKUMAR ASHOKKUMAR PARIKH
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Credential |
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Telephone | 904-386-6785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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