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General NPI Number Information
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NPI Number | 1356871602
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Entity Type | Organization
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Legal Business Name | PRECISION MEDICAL CARE LLC
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 06/19/2017
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Provider Practice Location Address
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Address Line | 2002 W 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1903
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Country | US
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Telephone | 317-872-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 1822 BEAUFAIN ST
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City | CARMEL
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State | IN
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Zip | 46032-7201
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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 | OWNER
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Name | SAAD HAFIDH
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Credential | MD
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Telephone | 317-975-0101
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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 |
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License Number State |
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