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General NPI Number Information
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NPI Number | 1669563037
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Entity Type | Organization
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Legal Business Name | FAMILY CARE CENTERS INC.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 206 E BROWN ST
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City | E STROUDSBURG
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State | PA
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Zip | 18301-3006
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Country | US
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Telephone | 570-476-3507
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Fax | 570-476-3754
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 2
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone | 570-426-2733
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Fax | 570-426-2643
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Authorized Official
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Title or Position | SR VP/COO
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Name | JAMES DEMOPOULOS
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Credential |
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Telephone | 484-862-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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