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General NPI Number Information
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NPI Number | 1124757729
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Entity Type | Organization
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Legal Business Name | URGENT SPECIALTY ASSOCIATES PLLC
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 7101 JAHNKE RD STE 280
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City | RICHMOND
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State | VA
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Zip | 23225-4017
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Country | US
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Telephone | 804-716-7758
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Fax | 804-918-8664
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Provider Business Mailing Address
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Address Line | 13500 POWERS CT STE 230
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City | FORT MYERS
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State | FL
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Zip | 33912-4503
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Country | US
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Telephone | 817-856-0655
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN D JOSEPHS
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Credential | MD
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Telephone | 469-609-9908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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