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General NPI Number Information
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NPI Number | 1922963529
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Entity Type | Organization
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Legal Business Name | FIRST CARE MEDICAL CLINIC, PA
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 7004 SMITH CORNERS BLVD STE A
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City | CHARLOTTE
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State | NC
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Zip | 28269-3827
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Country | US
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Telephone | 704-291-9267
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Fax |
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Provider Business Mailing Address
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Address Line | 404 S SUTHERLAND AVE
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City | MONROE
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State | NC
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Zip | 28112-5060
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Country | US
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Telephone | 704-291-9267
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Fax |
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Authorized Official
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Title or Position | OWNER / MEDICAL DIRECTOR
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Name | BENEDICT O OKWARA
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Credential | MD
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Telephone | 704-291-9267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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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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