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General NPI Number Information
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NPI Number | 1144528035
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Entity Type | Organization
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Legal Business Name | URGENT CARE GROUP LLC
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 2821 S 108TH ST
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City | OMAHA
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State | NE
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Zip | 68144-4803
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Country | US
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Telephone | 402-933-8201
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Fax | 402-933-8301
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Provider Business Mailing Address
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Address Line | PO BOX 241632
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City | OMAHA
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State | NE
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Zip | 68124-5632
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Country | US
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Telephone | 402-933-8201
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Fax | 402-933-8301
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Authorized Official
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Title or Position | PARTNER
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Name | SCOTT COONEY
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Credential |
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Telephone | 402-933-8201
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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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