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General NPI Number Information
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NPI Number | 1649497769
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Entity Type | Organization
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Legal Business Name | MEDICAL CARE CENTER
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 N GRAND AVE
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City | GAINESVILLE
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State | TX
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Zip | 76240-4321
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Country | US
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Telephone | 940-665-0736
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Fax | 940-668-8637
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Provider Business Mailing Address
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Address Line | 301 N GRAND AVE
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City | GAINESVILLE
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State | TX
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Zip | 76240-4321
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Country | US
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Telephone | 940-665-0736
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Fax | 940-668-8637
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DAVID C SHAUF
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Credential | DO
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Telephone | 940-665-0736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E2352
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License Number State | TX
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