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General NPI Number Information
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NPI Number | 1144561366
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Entity Type | Organization
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Legal Business Name | QUICK FAMILY URGENTCARE LLC
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 4301 S FLAMINGO RD SUITE 102
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City | DAVIE
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State | FL
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Zip | 33330-1902
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Country | US
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Telephone | 954-640-1200
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Fax | 954-640-1208
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Provider Business Mailing Address
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Address Line | 4301 S FLAMINGO RD SUITE 102
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City | DAVIE
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State | FL
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Zip | 33330-1902
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Country | US
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Telephone | 954-640-1200
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Fax | 954-640-1208
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. AJAY VED SOOD
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Credential | M.D.
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Telephone | 954-640-1200
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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 | ME 91483
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License Number State | FL
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