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General NPI Number Information
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NPI Number | 1992022370
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Entity Type | Organization
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Legal Business Name | ICARE PROVIDERS INC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 04/26/2010
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Provider Practice Location Address
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Address Line | 9901 ROYAL LN SUITE 106
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City | DALLAS
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State | TX
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Zip | 75231-1830
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Country | US
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Telephone | 214-415-6247
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 W LOVERS LN SUITE 116-309
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City | DALLAS
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State | TX
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Zip | 75209-4330
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Country | US
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Telephone | 214-415-6247
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. CAROL J ANSLEY
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Credential |
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Telephone | 214-415-6247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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