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NPI 1154604072

NPI 1154604072 : ABSOLUTE QUICK CARE, LLC : OCALA, FL

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General NPI Number Information
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    NPI Number           |    1154604072
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABSOLUTE QUICK CARE, LLC 
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Dates
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    Enumeration Date     |    09/27/2011
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    Last Update Date     |    11/17/2011
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Provider Practice Location Address
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    Address Line         |    1665 SW HIGHWAY 484 SUITE 105
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34473-1995
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    Country              |    US
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    Telephone            |    352-854-5532
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    Fax                  |    352-854-5530
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Provider Business Mailing Address
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    Address Line         |    7350 SW 60TH AVE SUITE 2
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34476-6428
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    Country              |    US
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    Telephone            |    352-854-5532
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    Fax                  |    352-854-5530
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. YOUSEF A ELYAMAN 
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    Credential           |    MD
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    Telephone            |    352-854-5532
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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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