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General NPI Number Information
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NPI Number | 1023571528
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Entity Type | Organization
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Legal Business Name | HEALTH CHOICE URGENT CARE, LLC
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 2745 LOGANVILLE HWY
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City | LOGANVILLE
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State | GA
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Zip | 30052-3005
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Country | US
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Telephone | 470-655-2364
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Fax |
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Provider Business Mailing Address
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Address Line | 3711 S MO PAC EXPY STE 400
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City | AUSTIN
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State | TX
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Zip | 78746-8013
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Country | US
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Telephone | 470-655-2364
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Fax | 470-407-2660
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Authorized Official
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Title or Position | MANAGER
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Name | MIKE LAKEMAN
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Credential |
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Telephone | 615-221-4139
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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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