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General NPI Number Information
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NPI Number | 1013154533
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Entity Type | Organization
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Legal Business Name | ALLIANCE URGENT CARE, LLC
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 610 PEACHTREE PARKWAY SUITE 201
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City | CUMMING
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State | GA
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Zip | 30041
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Country | US
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Telephone | 770-888-2733
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Fax | 770-888-2741
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Provider Business Mailing Address
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Address Line | 610 PEACHTREE PARKWAY SUITE 201
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City | CUMMING
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State | GA
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Zip | 30041
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Country | US
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Telephone | 770-888-2733
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Fax | 770-888-2741
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Authorized Official
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Title or Position | OWNER-PHYSICIAN
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Name | MR. DAVID ARNEL RAGAN
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Credential | D.O., M.P.H.
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Telephone | 770-888-2733
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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 | 033682
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License Number State | GA
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