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General NPI Number Information
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NPI Number | 1316358583
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Entity Type | Organization
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Legal Business Name | MY CARE URGENT CARE LLC
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Dates
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Enumeration Date | 05/09/2014
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 8500 ANNAPOLIS RD SUITE 100
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-3014
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Country | US
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Telephone | 301-365-8458
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Fax | 301-365-9412
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Provider Business Mailing Address
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Address Line | 9739 AVENEL FARM DR
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City | POTOMAC
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State | MD
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Zip | 20854-5413
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Country | US
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Telephone |
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Fax | 301-365-9412
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Authorized Official
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Title or Position | MANAGER
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Name | VIMLA BHOOSHAN
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Credential | M.D.
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Telephone | 301-365-8458
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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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