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General NPI Number Information
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NPI Number | 1831993245
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Entity Type | Organization
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Legal Business Name | GREATCARE AND WELLNESS LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 13830 W CAMINO DEL SOL STE 240
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4746
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Country | US
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Telephone | 623-404-6777
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Fax | 623-250-0344
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Provider Business Mailing Address
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Address Line | 13830 W CAMINO DEL SOL STE 240
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4746
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Country | US
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Telephone | 623-404-6777
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Fax | 623-250-0344
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Authorized Official
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Title or Position | OWNER
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Name | KUMAR RAVI
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Credential |
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Telephone | 480-266-9293
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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 |
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License Number State |
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