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General NPI Number Information
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NPI Number | 1134529928
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Entity Type | Organization
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Legal Business Name | MEDNOW URGENT CARE CENTER LLC
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 550 W SHAWNEE ST
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City | MUSKOGEE
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State | OK
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Zip | 74401
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Country | US
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Telephone | 918-286-6331
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Fax | 918-806-6330
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Provider Business Mailing Address
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Address Line | 503 S ASPEN AVE
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City | BROKEN ARROW
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State | OK
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Zip | 74012-2296
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Country | US
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Telephone | 918-286-6331
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Fax | 918-806-6330
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINDA S MALONE
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Credential |
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Telephone | 918-286-6331
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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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