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General NPI Number Information
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NPI Number | 1275595613
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Entity Type | Organization
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Legal Business Name | FAMILY CARE ASSOCIATES, INC
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 191 CHRISTIANA RD
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City | NEW CASTLE
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State | DE
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Zip | 19720-3024
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Country | US
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Telephone | 302-322-1794
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Fax | 302-322-3498
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Provider Business Mailing Address
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Address Line | 1602 NEWPORT GAP PIKE
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City | WILMINGTON
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State | DE
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Zip | 19808-6208
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Country | US
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Telephone | 302-633-5840
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Fax | 302-633-5844
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Authorized Official
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Title or Position | PARTNER
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Name | DR. KHAJA YEZDANI
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Credential | M.D.
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Telephone | 302-322-1794
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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 | 1996105387
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License Number State | DE
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