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General NPI Number Information
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NPI Number | 1275146045
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Entity Type | Organization
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Legal Business Name | INSTACARE PLLC
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 1532 W ANDREW JOHNSON HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-3733
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Country | US
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Telephone | 423-616-0705
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Fax | 423-616-0707
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Provider Business Mailing Address
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Address Line | 1532 W ANDREW JOHNSON HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-3733
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Country | US
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Telephone | 423-616-0705
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Fax | 423-616-0707
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMED AHMED
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Credential | MD
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Telephone | 423-307-8951
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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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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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