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General NPI Number Information
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NPI Number | 1790926376
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Entity Type | Organization
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Legal Business Name | ALLCARE FAMILY AND URGENT CARE CLINICS, PA
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 3825 ROSS AVENUE SUITE 150
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City | DALLAS
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State | TX
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Zip | 75204-5138
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Country | US
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Telephone | 214-515-9646
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Fax | 214-515-9654
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | ROCKWALL
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State | TX
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Zip | 75087-0639
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Country | US
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Telephone | 214-515-9646
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Fax | 215-515-9654
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | OSEHOTUE OKOJIE
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Credential | MD
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Telephone | 214-515-9646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N0329
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License Number State | TX
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