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General NPI Number Information
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NPI Number | 1447992144
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Entity Type | Organization
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Legal Business Name | MOBILE CARE PHYSICIANS GROUP PA
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 1 GATEWAY CTR STE 2600
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City | NEWARK
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State | NJ
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Zip | 07102-5323
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Country | US
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Telephone | 551-227-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 8270 WOODLAND CENTER BLVD PMB 548
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City | TAMPA
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State | FL
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Zip | 33614-2401
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Country | US
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Telephone | 551-227-3669
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAJAD ZALZALA
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Credential | MD
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Telephone | 630-952-1412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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