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NPI 1912956749

NPI 1912956749 : FIRST CARE. INC : COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1912956749
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST CARE. INC 
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Dates
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    Enumeration Date     |    05/09/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2406 DECKER BLVD 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29206-2362
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    Country              |    US
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    Telephone            |    803-736-2530
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    Fax                  |    803-736-4830
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Provider Business Mailing Address
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    Address Line         |    2406 DECKER BLVD 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29206-2362
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    Country              |    US
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    Telephone            |    803-736-2530
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    Fax                  |    803-736-4830
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. IZARD R IZARD 
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    Credential           |    MD
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    Telephone            |    803-736-2530
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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       |    9044
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    License Number State |    SC
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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       |    12878
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    License Number State |    SC
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