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General NPI Number Information
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NPI Number | 1750564233
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Entity Type | Organization
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Legal Business Name | PROCARE MEDICAL CLINIC PLLC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 627 WEST PARK CIRCLE
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City | N WILKESBORO
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State | NC
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Zip | 28659-3563
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Country | US
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Telephone | 336-667-5846
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Fax | 336-667-8376
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Provider Business Mailing Address
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Address Line | 527 W PARK CIR
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City | N WILKESBORO
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State | NC
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Zip | 28659-3548
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Country | US
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Telephone | 336-667-5846
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Fax | 336-667-8376
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Authorized Official
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Title or Position | SOLE OWNER
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Name | SUNITA SINGH
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Credential | M.D.
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Telephone | 336-667-5846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 200201529
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License Number State | NC
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