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General NPI Number Information
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NPI Number | 1376960674
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Entity Type | Organization
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Legal Business Name | SMART CARE INC
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 158 MAIN ST SUITE 201
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City | ANSONIA
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State | CT
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Zip | 06401-1836
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Country | US
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Telephone | 203-751-9835
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Fax |
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Provider Business Mailing Address
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Address Line | 158 MAIN ST SUITE 201
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City | ANSONIA
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State | CT
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Zip | 06401-1836
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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 | M.D.
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Name | VICKI S BLUMBERG
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Credential |
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Telephone | 203-751-9835
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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 | CT
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