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General NPI Number Information
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NPI Number | 1063044113
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Entity Type | Organization
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Legal Business Name | Q DAY WALK IN CLINIC AND SPA, LLC
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 3560 EAST PARK BLVD.
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City | PLANO
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State | TX
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Zip | 75074
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Country | US
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Telephone | 972-424-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 3560 EAST PARK BLVD.
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City | PLANO
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State | TX
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Zip | 75074
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Country | US
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Telephone | 972-424-0579
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMED AQUEEL AHMED
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Credential | MD
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Telephone | 501-821-7727
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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