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General NPI Number Information
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NPI Number | 1255766267
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Entity Type | Organization
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Legal Business Name | PRO CARE MEDICAL GROUP INC
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 05/15/2021
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Provider Practice Location Address
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Address Line | 16 CATHY LN
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City | DANVILLE
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State | CA
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Zip | 94526-1114
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Country | US
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Telephone | 925-322-3442
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Fax |
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Provider Business Mailing Address
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Address Line | 23 RAILROAD AVE UNIT 541
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City | DANVILLE
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State | CA
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Zip | 94526-1114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | ZAHID SHAIKH
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Credential | MD
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Telephone | 925-322-3443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A114438
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License Number State | CA
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