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General NPI Number Information
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NPI Number | 1841187895
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Entity Type | Organization
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Legal Business Name | CAREWAY HEALTH MEDICAL WEST PC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 71 STEVENSON ST STE 400
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-0908
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Country | US
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Telephone | 413-438-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1111B S GOVERNORS AVE STE 29716
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City | DOVER
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State | DE
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Zip | 19904-6903
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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 | OPERATIONS ADMINISTRATOR
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Name | NICHOLAS MORRIS
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Credential |
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Telephone | 413-438-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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