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General NPI Number Information
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NPI Number | 1043775919
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Entity Type | Organization
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Legal Business Name | CENTRAL URGENT MEDICAL CARE
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 8891 CENTRAL AVE
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City | MONTCLAIR
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State | CA
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Zip | 91763-1618
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Country | US
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Telephone | 909-297-3361
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Fax |
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Provider Business Mailing Address
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Address Line | 20537 E CALORA ST
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City | COVINA
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State | CA
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Zip | 91724-1240
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Country | US
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Telephone | 626-290-2318
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. THUY NGUYEN
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Credential | MD
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Telephone | 951-283-8553
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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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