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General NPI Number Information
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NPI Number | 1023975042
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Entity Type | Organization
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Legal Business Name | URGENT CARE NORTHWEST PC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 705 US HIGHWAY 80 W
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City | DEMOPOLIS
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State | AL
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Zip | 36732-4113
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Country | US
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Telephone | 334-289-0225
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Fax | 334-289-0245
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Provider Business Mailing Address
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Address Line | 705 US HIGHWAY 80 W
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City | DEMOPOLIS
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State | AL
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Zip | 36732-4113
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Country | US
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Telephone | 334-289-0225
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Fax | 334-289-0245
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | BETH KOHN
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Credential |
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Telephone | 727-776-9642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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