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General NPI Number Information
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NPI Number | 1134767056
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Entity Type | Organization
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Legal Business Name | URGENT CARE-A-VAN, LLC
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 6186 S 2850 E
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City | OGDEN
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State | UT
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Zip | 84403-5495
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Country | US
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Telephone | 602-799-6732
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Fax |
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Provider Business Mailing Address
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Address Line | 6186 S 2850 E
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City | OGDEN
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State | UT
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Zip | 84403-5495
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Country | US
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Telephone | 801-686-5898
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Fax |
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Authorized Official
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Title or Position | OWNER, NURSE PRACTITIONER
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Name | DR. DARRIN VANSCOY
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Credential | DNP, AGACNP-BC, FNP-
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Telephone | 801-686-5898
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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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