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General NPI Number Information
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NPI Number | 1275200800
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Entity Type | Organization
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Legal Business Name | VCARE PRIMARY CARE
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 485 GEORGES RD STE 114
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City | DAYTON
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State | NJ
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Zip | 08810-2439
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Country | US
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Telephone | 888-460-1151
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Fax |
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Provider Business Mailing Address
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Address Line | 485 GEORGES RD STE 114
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City | DAYTON
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State | NJ
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Zip | 08810-2439
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Country | US
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Telephone | 888-460-1151
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANGAIYARKKASI SIVAKUMAR
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Credential | MD
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Telephone | 888-460-1151
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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