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General NPI Number Information
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NPI Number | 1073550505
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Entity Type | Organization
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Legal Business Name | MY URGENT CARE PC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 14527 JEFFERSON DAVIS HWY
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City | WOODBRIDGE
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State | VA
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Zip | 22191-2817
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Country | US
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Telephone | 703-494-6160
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Fax | 703-434-3519
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Provider Business Mailing Address
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Address Line | 14527 JEFFERSON DAVIS HWY
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City | WOODBRIDGE
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State | VA
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Zip | 22191-2817
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Country | US
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Telephone | 703-494-6160
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Fax | 703-434-3519
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. RANA SANDHAR
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Credential |
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Telephone | 703-494-2434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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