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General NPI Number Information
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NPI Number | 1134742794
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Entity Type | Organization
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Legal Business Name | UPCARE URGENT CLINIC - OLATHE LLC
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 790 N RIDGEVIEW RD
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City | OLATHE
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State | KS
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Zip | 66061
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Country | US
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Telephone | 314-550-3005
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Fax |
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Provider Business Mailing Address
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Address Line | 790 N RIDGEVIEW RD
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City | OLATHE
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State | KS
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Zip | 66061
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Country | US
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Telephone | 314-550-3005
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | SHIVAM PARBHU
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Credential |
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Telephone | 314-550-3005
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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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