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General NPI Number Information
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NPI Number | 1598066391
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Entity Type | Organization
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Legal Business Name | WE CARE 4-U FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 111 DEANNA DR
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City | LOWELL
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State | IN
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Zip | 46356-2402
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Country | US
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Telephone | 219-552-5544
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Fax |
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Provider Business Mailing Address
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Address Line | 111 DEANNA DR
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City | LOWELL
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State | IN
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Zip | 46356-2402
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Country | US
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Telephone | 219-552-5544
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. KELLY A WILLIAMS
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Credential | NP-C
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Telephone | 219-552-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | IN
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