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General NPI Number Information
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NPI Number | 1497172225
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Entity Type | Organization
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Legal Business Name | NWI URGENT FAMILY CARE, LLC
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 833 W LINCOLN HWY STE 110E
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City | SCHERERVILLE
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State | IN
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Zip | 46375-4606
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Country | US
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Telephone | 219-427-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 833 W LINCOLN HWY STE 110E
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City | SCHERERVILLE
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State | IN
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Zip | 46375-4606
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Country | US
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Telephone | 219-427-0700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FAIZUDDIN SHAREEF
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Credential | D.O.
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Telephone | 219-427-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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