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General NPI Number Information
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NPI Number | 1841545522
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Entity Type | Organization
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Legal Business Name | FIRSTCARE MEDICAL CENTER
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 2185 BRINKER RD
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City | DENTON
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State | TX
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Zip | 76208-6986
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Country | US
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Telephone | 940-384-1809
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Fax | 940-384-7744
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Provider Business Mailing Address
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Address Line | 2185 BRINKER RD
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City | DENTON
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State | TX
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Zip | 76208-6986
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Country | US
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Telephone | 940-384-1809
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Fax | 940-384-7744
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | IKENNA ADUGBA
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Credential | M.D.
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Telephone | 940-384-1809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K6978
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License Number State | TX
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