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General NPI Number Information
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NPI Number | 1780031542
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Entity Type | Organization
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Legal Business Name | MEDICAL CARE INC
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 1402 WAYNE MEMORIAL DR
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City | GOLDSBORO
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State | NC
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Zip | 27534-2235
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Country | US
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Telephone | 919-735-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 WAYNE MEMORIAL DR
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City | GOLDSBORO
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State | NC
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Zip | 27534-2235
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SELF
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Name | ELIZABETH D DAVIS
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Credential | CSAC
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Telephone | 919-735-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | CSAC-15582
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License Number State | NC
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