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General NPI Number Information
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NPI Number | 1114491594
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Entity Type | Organization
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Legal Business Name | ON DEMAND URGENT CARE GROUP PC
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 1500 SPRING GARDEN ST STE R105
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City | PHILADELPHIA
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State | PA
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Zip | 19130-4067
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Country | US
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Telephone | 267-768-8288
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Fax | 866-244-6942
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Provider Business Mailing Address
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Address Line | 6060 RIDGE AVE STE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1659
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Country | US
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Telephone | 215-999-6060
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Fax | 267-437-2937
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Authorized Official
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Title or Position | CEO
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Name | PETER HOTZ
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Credential |
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Telephone | 484-753-3970
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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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