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General NPI Number Information
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NPI Number | 1598645293
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Entity Type | Organization
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Legal Business Name | FIRST CONVENIENT CARE LTD
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1212 CURRENCY CT
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City | ROCHELLE
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State | IL
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Zip | 61068-2321
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Country | US
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Telephone | 815-231-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 CURRENCY CT
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City | ROCHELLE
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State | IL
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Zip | 61068-2321
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Country | US
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Telephone | 815-231-6655
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Fax |
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Authorized Official
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Title or Position | APN
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Name | MAHUBAH ABDALLAH
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Credential | ANP
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Telephone | 815-231-6655
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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 |
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