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General NPI Number Information
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NPI Number | 1144991290
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Entity Type | Organization
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Legal Business Name | NP URGENT CARE
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 227 TENNESSEE ST
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City | DELHI
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State | LA
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Zip | 71232-2925
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Country | US
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Telephone | 318-334-3634
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Fax |
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Provider Business Mailing Address
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Address Line | 111 CHEROKEE TRL
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City | DELHI
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State | LA
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Zip | 71232-5703
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Country | US
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Telephone | 318-334-3634
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MIA MCCALL
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Credential | NURSE PRACTITIONER
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Telephone | 318-334-3634
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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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