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General NPI Number Information
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NPI Number | 1578580478
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Entity Type | Organization
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Legal Business Name | CARE MEDICAL CLINIC INC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 6500 COYLE AVE #4
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City | CARMICHAEL
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State | CA
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Zip | 95608-0301
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Country | US
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Telephone | 916-967-2273
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Fax | 916-967-2274
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Provider Business Mailing Address
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Address Line | 6500 COYLE AVE #4
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City | CARMICHAEL
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State | CA
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Zip | 95608-0301
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Country | US
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Telephone | 916-967-2273
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Fax | 916-967-2274
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SULTAN A SULTAN
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Credential | MD
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Telephone | 916-967-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 316230
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License Number State | CA
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