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General NPI Number Information
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NPI Number | 1114957123
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Entity Type | Organization
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Legal Business Name | URGENT CARE SPECIALISTS, LLC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 6210 BRANDT PIKE STE 102
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-4019
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Country | US
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Telephone | 937-236-8635
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Fax | 937-236-8630
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Provider Business Mailing Address
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Address Line | 1430 OAK CT STE 100
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City | BEAVERCREEK
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State | OH
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Zip | 45430-1064
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Country | US
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Telephone | 937-236-8635
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Fax | 937-236-8630
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MANOJ KUMAR
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Credential |
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Telephone | 937-603-1941
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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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