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General NPI Number Information
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NPI Number | 1932464286
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Entity Type | Organization
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Legal Business Name | WALK-IN FAMILY CARE PLLC
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 7720 CHAPEL HILL RD
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City | RALEIGH
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State | NC
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Zip | 27607-4956
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Country | US
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Telephone | 919-655-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 309 MALVERN HILL LN
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City | MORRISVILLE
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State | NC
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Zip | 27560-9722
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Country | US
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Telephone | 919-655-5020
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | SAMINA ISMAIL
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Credential | M.D.
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Telephone | 919-961-2898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200401518
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License Number State | NC
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