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General NPI Number Information
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NPI Number | 1265550792
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Entity Type | Organization
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Legal Business Name | NATIONAL PHYSICIAN CARE, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3347 BROOKFIELD CORPROATE DR. 203
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City | CHANTILLY
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State | VA
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Zip | 20151
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Country | US
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Telephone | 703-961-0733
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Fax | 703-961-0732
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Provider Business Mailing Address
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Address Line | PO BOX 70962
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City | MARIETTA
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State | GA
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Zip | 30007-0962
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Country | US
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Telephone | 770-321-1772
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Fax | 770-321-5658
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD L. MILES
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Credential |
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Telephone | 770-321-1772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 9105832
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License Number State | VA
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