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General NPI Number Information
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NPI Number | 1528653995
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Entity Type | Organization
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Legal Business Name | NWCARE INC
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Dates
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Enumeration Date | 03/07/2021
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1096 22ND ST SE
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City | SALEM
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State | OR
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Zip | 97301-6556
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Country | US
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Telephone | 503-551-8597
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Fax |
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Provider Business Mailing Address
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Address Line | 1096 22ND ST SE
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City | SALEM
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State | OR
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Zip | 97301-6556
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Country | US
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Telephone | 833-469-2692
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Fax | 833-342-1173
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Authorized Official
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Title or Position | CEO
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Name | SHAZAD ASHRAF BUKSH
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Credential | DPM
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Telephone | 503-877-3676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QD0000X
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Taxonomy Name | Dental 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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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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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