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General NPI Number Information
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NPI Number | 1114325016
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Entity Type | Organization
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Legal Business Name | WALK IN URGENT CARE INC.
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 266 S COLLEGE AVE
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City | NEWARK
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State | DE
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Zip | 19711-5235
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Country | US
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Telephone | 302-533-7994
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Fax | 302-861-6273
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Provider Business Mailing Address
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Address Line | 266 S COLLEGE AVE
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City | NEWARK
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State | DE
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Zip | 19711-5235
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Country | US
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Telephone | 302-533-7994
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Fax | 443-350-9783
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MOHAMMAD A KHAN
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Credential | M.D., PH.D.
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Telephone | 302-533-7994
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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 | C1-0008136
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License Number State | DE
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