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General NPI Number Information
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NPI Number | 1073979043
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Entity Type | Organization
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Legal Business Name | PROXIMITY MD URGENT CARE, INC.
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 3409 CALLOWAY DR 101
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2528
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Country | US
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Telephone | 661-829-7050
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Fax | 661-829-7060
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Provider Business Mailing Address
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Address Line | 3409 CALLOWAY DR 101
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2528
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Country | US
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Telephone | 661-829-7050
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Fax | 661-829-7060
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARMANDO ALVAREZ
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Credential | MD
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Telephone | 661-829-7050
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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 | G63146
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License Number State | CA
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