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General NPI Number Information
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NPI Number | 1801037700
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Entity Type | Organization
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Legal Business Name | MD TOTAL CARE, LLC
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 1301 MCCALLIE AVE SUITE 200
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City | CHATTANOOGA
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State | TN
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Zip | 37404-2934
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Country | US
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Telephone | 423-710-3864
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Fax | 423-710-3865
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Provider Business Mailing Address
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Address Line | PO BOX 8308
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City | CHATTANOOGA
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State | TN
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Zip | 37414-0308
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Country | US
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Telephone | 423-710-3864
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Fax | 423-710-3865
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL T. CZARNECKI
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Credential | M.D.
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Telephone | 423-710-3864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | M4016
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | M4016
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 44980
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 44980
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 44980
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 44980
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 44980
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License Number State | TN
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Taxonomy #8
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 063058
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 063058
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License Number State | GA
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Taxonomy #10
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 063058
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License Number State | GA
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Taxonomy #11
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 063058
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License Number State | GA
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Taxonomy #12
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 063058
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License Number State | GA
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Taxonomy #13
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 063058
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License Number State | GA
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Taxonomy #14
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2912
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License Number State | TN
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Taxonomy #15
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 44980
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License Number State | TN
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