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General NPI Number Information
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NPI Number | 1376840827
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Entity Type | Organization
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Legal Business Name | PRIME MEDICAL CARE, P.C.
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 19735 GERMANTOWN RD SUITE 280
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City | GERMANTOWN
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State | MD
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Zip | 20874-1214
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Country | US
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Telephone | 240-686-1122
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Fax | 240-686-1124
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Provider Business Mailing Address
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Address Line | 19735 GERMANTOWN RD SUITE 280
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City | GERMANTOWN
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State | MD
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Zip | 20874-1214
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Country | US
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Telephone | 240-686-1122
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Fax | 240-686-1124
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LALARUKH R MALIK
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Credential | M.D.
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Telephone | 240-686-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D0066741
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License Number State | MD
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