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General NPI Number Information
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NPI Number | 1972902195
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Entity Type | Organization
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Legal Business Name | ACCESS CARE MEDICAL, PLLC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 5412 CENTRAL AVE A
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City | CHARLOTTE
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State | NC
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Zip | 28212-2706
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Country | US
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Telephone | 704-910-2199
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Fax | 704-910-2545
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Provider Business Mailing Address
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Address Line | PO BOX 29540
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City | CHARLOTTE
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State | NC
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Zip | 28229-9540
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Country | US
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Telephone | 704-910-2199
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Fax | 704-910-2545
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Authorized Official
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Title or Position | OWNER
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Name | AUGUSTINE ONWUKWE SR.
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Credential | M.D.
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Telephone | 704-910-2199
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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 |
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License Number State |
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