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General NPI Number Information
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NPI Number | 1689096349
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Entity Type | Organization
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Legal Business Name | MEDICS PRIMARY AND URGENT CARE PC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 504 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3417
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Country | US
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Telephone | 910-221-3030
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Fax | 910-401-0680
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Provider Business Mailing Address
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Address Line | 504 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3417
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Country | US
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Telephone | 910-221-3030
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Fax | 910-401-0680
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DONALD DARKO ASANTE
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Credential | M.D.
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Telephone | 910-600-1856
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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 | 2009-01405
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License Number State | NC
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