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General NPI Number Information
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NPI Number | 1053824235
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Entity Type | Organization
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Legal Business Name | BROKEN BETTER URGENT CARE LLC
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 735 CHERRY RD
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City | ROCK HILL
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State | SC
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Zip | 29732-3121
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Country | US
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Telephone | 803-818-3932
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Fax | 803-818-3932
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Provider Business Mailing Address
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Address Line | 735 CHERRY RD
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City | ROCK HILL
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State | SC
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Zip | 29732-3121
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Country | US
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Telephone | 803-818-3932
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Fax | 844-729-6584
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Authorized Official
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Title or Position | MD
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Name | STACY BAKER
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Credential | MD
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Telephone | 803-818-3932
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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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