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General NPI Number Information
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NPI Number | 1245179829
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Entity Type | Organization
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Legal Business Name | PEDIATRIC GREAT CARE, L.L.C
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 901 HARRY S TRUMAN DR N
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City | LARGO
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State | MD
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Zip | 20774-5477
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Country | US
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Telephone | 240-677-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 12530 FAIRWOOD PKWY STE 1021247
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City | BOWIE
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State | MD
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Zip | 20720-6356
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Country | US
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Telephone | 848-391-7520
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAREK AHMED AWAD BELAL
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Credential | MD
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Telephone | 848-391-7520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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