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General NPI Number Information
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NPI Number | 1144759911
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Entity Type | Organization
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Legal Business Name | MUNSTER URGENT CARE INC
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8840 CALUMET AVE STE 101
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City | MUNSTER
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State | IN
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Zip | 46321-2546
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Country | US
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Telephone | 219-769-6673
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Fax | 219-476-3335
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Provider Business Mailing Address
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Address Line | 8840 CALUMET AVE STE 101
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City | MUNSTER
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State | IN
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Zip | 46321-2546
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Country | US
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Telephone | 219-769-6673
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Fax | 219-476-3335
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Authorized Official
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Title or Position | OWNER
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Name | DR. JATIN RAMESH PATEL
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Credential | DO
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Telephone | 219-769-6673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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