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General NPI Number Information
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NPI Number | 1144739806
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Entity Type | Organization
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Legal Business Name | NIGHT OWL URGENT CARE CENTER LLC
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3347 SO STATE RD 7 200
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City | WELLINGTON
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State | FL
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Zip | 33449-8148
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Country | US
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Telephone | 561-537-4803
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Fax | 561-795-4036
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Provider Business Mailing Address
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Address Line | 3347 SO STATE RD 7 200
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City | WELLINGTON
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State | FL
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Zip | 33449-8148
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Country | US
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Telephone | 561-537-4803
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Fax | 561-795-4036
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Authorized Official
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Title or Position | CORP PRESIDENT
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Name | SHEKHAR V SHARMA
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Credential | MD
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Telephone | 561-537-4803
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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 | FL
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