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General NPI Number Information
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NPI Number | 1942886171
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Entity Type | Organization
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Legal Business Name | TRUCARE TELEHEALTH MEDICAL GROUP
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 20709 GOLDEN SPRINGS DR STE 106
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City | WALNUT
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State | CA
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Zip | 91789-3847
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Country | US
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Telephone | 323-596-3530
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Fax | 866-473-3822
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Provider Business Mailing Address
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Address Line | 20709 GOLDEN SPRINGS DR STE 106
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City | WALNUT
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State | CA
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Zip | 91789-3847
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Country | US
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Telephone | 323-596-3530
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Fax | 866-473-3822
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHEMIKA MITCHELL
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Credential | NURSE PRACTITIONER
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Telephone | 323-596-3530
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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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