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General NPI Number Information
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NPI Number | 1104436278
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Entity Type | Organization
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Legal Business Name | URGENT CARE LAKEWOOD INC
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 2616 E 120TH AVE
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City | THORNTON
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State | CO
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Zip | 80233-1412
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Country | US
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Telephone | 720-751-2910
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Fax | 720-751-2911
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Provider Business Mailing Address
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Address Line | PO BOX 10417
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City | HOLYOKE
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State | MA
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Zip | 01041-2017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CENTER DIRECTOR
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Name | ROBERT REFLOGAL
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Credential |
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Telephone | 303-988-3600
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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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