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General NPI Number Information
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NPI Number | 1790448652
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Entity Type | Organization
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Legal Business Name | WECARE MOBILE MEDICAL, LLC
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 306 DIGUISEPPE DR
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City | BRISTOL
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State | PA
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Zip | 19007-4449
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Country | US
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Telephone | 215-828-2514
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Fax |
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Provider Business Mailing Address
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Address Line | 306 DIGUISEPPE DR
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City | BRISTOL
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State | PA
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Zip | 19007-4449
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Country | US
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Telephone | 215-828-2514
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT RICHARD MCCLAIN
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Credential | PA-C
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Telephone | 267-852-8291
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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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