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General NPI Number Information
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NPI Number | 1689004095
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Entity Type | Organization
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Legal Business Name | MEDCARE URGENT CARE CENTER - ANDERSON LLC
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Dates
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Enumeration Date | 11/21/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 801 N FANT ST
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City | ANDERSON
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State | SC
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Zip | 29621-5707
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Country | US
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Telephone | 843-793-6093
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 SAM RITTENBERG BLVD
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City | CHARLESTON
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State | SC
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Zip | 29407-4936
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Country | US
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Telephone | 843-793-6093
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH PAWLIK
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Credential | MD
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Telephone | 843-793-6093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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