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General NPI Number Information
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NPI Number | 1871477844
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Entity Type | Organization
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Legal Business Name | ESSENTIAL CARE PLUS PLLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1105 E WENDOVER AVE STE E
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City | GREENSBORO
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State | NC
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Zip | 27405-6767
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Country | US
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Telephone | 336-707-3059
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 E WENDOVER AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-6774
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Country | US
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Telephone | 336-707-3058
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIFFANY JANELLE MILES
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Credential | FNP
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Telephone | 336-328-7512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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