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General NPI Number Information
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NPI Number | 1285191494
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Entity Type | Organization
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Legal Business Name | PRECISION CARE & WELLNESS, LLC
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Dates
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Enumeration Date | 02/24/2019
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 4001 MILLER RD STE 1
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City | WILMINGTON
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State | DE
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Zip | 19802-1961
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Country | US
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Telephone | 302-407-5222
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Fax | 302-407-5221
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Provider Business Mailing Address
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Address Line | 4001 MILLER RD
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City | WILMINGTON
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State | DE
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Zip | 19802-1961
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Country | US
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Telephone | 302-407-5222
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Fax | 302-407-5221
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Authorized Official
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Title or Position | CEO
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Name | TAYLOR ASHLEY ROANE BURGE
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Credential | APRN
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Telephone | 302-407-5222
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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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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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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 | 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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