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General NPI Number Information
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NPI Number | 1356854400
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Entity Type | Organization
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Legal Business Name | MDCARENOW LLC
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Dates
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Enumeration Date | 11/12/2017
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 3000 MAIN ST
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City | STRATFORD
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State | CT
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Zip | 06614-4939
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Country | US
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Telephone | 203-683-0625
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 MAIN ST
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City | STRATFORD
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State | CT
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Zip | 06614-4939
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | ANANTHAKUMAR THILLAINATHAN
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Credential | MD
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Telephone | 516-582-1948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 53980
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License Number State | CT
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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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