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General NPI Number Information
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NPI Number | 1275292963
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Entity Type | Organization
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Legal Business Name | MOBILE CARE PHYSICIANS GROUP PC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 755 N BROWN RD STE 200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043
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Country | US
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Telephone | 630-454-0257
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Fax |
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Provider Business Mailing Address
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Address Line | 8270 WOODLAND CENTER BLVD
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City | TAMPA
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State | FL
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Zip | 33614-2401
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Country | US
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Telephone | 630-454-0257
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAJAD ZALZALA
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Credential | MD
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Telephone | 313-433-4607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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