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General NPI Number Information
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NPI Number | 1497408371
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Entity Type | Organization
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Legal Business Name | CARE MEDICAL GROUP INC
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 3300 W LAWRNCE AVE STE 1W
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City | CHICAGO
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State | IL
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Zip | 60625-5203
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Country | US
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Telephone | 833-363-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 W LAWRNCE AVE STE 1W
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City | CHICAGO
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State | IL
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Zip | 60625-5203
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Country | US
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Telephone | 833-363-3522
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MOHAMMED RIHAN AHAMED RIFAI
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Credential | BSC
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Telephone | 833-363-3522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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