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General NPI Number Information
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NPI Number | 1043346539
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Entity Type | Organization
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Legal Business Name | A WALK-IN MEDICAL CENTER
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 66 CEDAR ST STE 100
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City | NEWINGTON
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State | CT
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Zip | 06111-2646
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Country | US
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Telephone | 860-436-3226
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Fax | 860-436-3229
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Provider Business Mailing Address
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Address Line | 66 CEDAR ST STE 100
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City | NEWINGTON
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State | CT
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Zip | 06111-2646
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Country | US
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Telephone | 860-436-3226
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Fax | 860-436-3229
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. STUART C CALLE
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Credential | MD
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Telephone | 860-436-3226
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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 | 036038
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License Number State | CT
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