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General NPI Number Information
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NPI Number | 1235250408
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Entity Type | Organization
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Legal Business Name | WELCARE MEDICAL CENTER
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3653 LAWRENCEVILLE HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-4107
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Country | US
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Telephone | 678-380-9393
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Fax | 678-380-9395
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Provider Business Mailing Address
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Address Line | PO BOX 1168
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City | SNELLVILLE
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State | GA
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Zip | 30078-1168
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Country | US
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Telephone | 678-380-9393
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Fax | 678-380-9395
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. YASMIN KARIM BUDHWANI
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Credential | MBBS, RDMS
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Telephone | 678-380-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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