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General NPI Number Information
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NPI Number | 1154067866
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Entity Type | Organization
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Legal Business Name | SOLAR URGENT CARE INC.
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 250 S MILLS RD STE 100
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City | VENTURA
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State | CA
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Zip | 93003-3436
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Country | US
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Telephone | 805-988-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 SOLAR DR STE 100
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City | OXNARD
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State | CA
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Zip | 93036-0647
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Country | US
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Telephone | 805-988-9000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANDREW REZA LANGROUDI
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Credential | DPM
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Telephone | 805-988-9000
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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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