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General NPI Number Information
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NPI Number | 1093295792
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Entity Type | Organization
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Legal Business Name | ALLIANCE URGENT CARE SERVICES, LLC
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 558 MAST RD
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City | GOFFSTOWN
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State | NH
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Zip | 03045-5256
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Country | US
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Telephone | 603-232-1790
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Fax | 32-322-5306
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Provider Business Mailing Address
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Address Line | 74 PLEASANT ST STE 204
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City | NEW LONDON
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State | NH
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Zip | 03257-5881
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Country | US
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Telephone | 603-526-4635
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Fax | 603-526-8283
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | DR. MARCUS J HAMPERS
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Credential | MD
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Telephone | 603-526-4635
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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 | NH
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