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General NPI Number Information
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NPI Number | 1134898992
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Entity Type | Organization
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Legal Business Name | BEE WELL URGENT CARE LLC
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 6650 EASTGATE BLVD STE 104
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City | LEBANON
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State | TN
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Zip | 37090-6018
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Country | US
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Telephone | 615-900-5451
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Fax | 615-900-5440
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Provider Business Mailing Address
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Address Line | 6650 EASTGATE BLVD STE 104
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City | LEBANON
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State | TN
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Zip | 37090-6018
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Country | US
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Telephone | 563-543-3291
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SARA DICKEN
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Credential | PA-C
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Telephone | 615-900-5451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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