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General NPI Number Information
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NPI Number | 1578918116
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Entity Type | Organization
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Legal Business Name | WELLCAREAMERICA LLC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 11220 ELM LN STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28277-0450
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Country | US
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Telephone | 877-318-1349
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Fax | 919-354-2936
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Provider Business Mailing Address
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Address Line | PO BOX 13219
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City | DURHAM
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State | NC
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Zip | 27709-3219
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Country | US
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Telephone | 877-318-1349
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Fax | 919-354-2936
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL DYER
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Credential |
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Telephone | 877-318-1349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0207X
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Taxonomy Name | Mobile Mammography 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 | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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