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General NPI Number Information
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NPI Number | 1013332378
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Entity Type | Organization
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Legal Business Name | PATIENT PAL URGENT CARE LLC
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 11860 SOUTHERN HIGHLANDS PKWY #102
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City | LAS VEGAS
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State | NV
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Zip | 89141-3303
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Country | US
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Telephone | 702-737-2273
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Fax | 702-823-2556
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Provider Business Mailing Address
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Address Line | 11860 SOUTHERN HIGHLANDS PKWY #102
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City | LAS VEGAS
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State | NV
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Zip | 89141-3303
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Country | US
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Telephone | 702-737-2273
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Fax | 702-823-2556
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Authorized Official
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Title or Position | RN, CPCS
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Name | MRS. ROSA PADILLA
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Credential |
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Telephone | 702-737-2273
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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 | 2000179062190
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License Number State | NV
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