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General NPI Number Information
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NPI Number | 1275018608
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Entity Type | Organization
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Legal Business Name | PR MEDCARE PLLC
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 4920 MCDERMOTT RD STE 200
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City | PLANO
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State | TX
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Zip | 75024-7769
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Country | US
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Telephone | 972-200-5666
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Fax | 469-250-5460
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Provider Business Mailing Address
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Address Line | 4920 MCDERMOTT RD STE 200
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City | PLANO
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State | TX
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Zip | 75024-7769
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Country | US
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Telephone | 972-200-5666
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Fax | 469-250-5460
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Authorized Official
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Title or Position | OWNER
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Name | PRITI RANJAN
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Credential | MD
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Telephone | 434-851-5633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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