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General NPI Number Information
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NPI Number | 1114342219
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY URGENT CARE #3, INC.
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 20635 YORBA LINDA BLVD SUITE R-1
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City | YORBA LINDA
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State | CA
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Zip | 92886-7133
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Country | US
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Telephone | 714-696-5280
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Fax | 714-696-5285
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Provider Business Mailing Address
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Address Line | 20635 YORBA LINDA BLVD SUITE R-1
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City | YORBA LINDA
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State | CA
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Zip | 92886-7133
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Country | US
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Telephone | 714-696-5280
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Fax | 714-696-5285
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Authorized Official
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Title or Position | SVP OF OUTPATIENT SERVICES, TENET
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Name | MR. MICHAEL KYLE BURTNETT
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Credential |
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Telephone | 469-893-2153
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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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