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General NPI Number Information
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NPI Number | 1164972519
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Entity Type | Organization
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Legal Business Name | GREATER TOLEDO URGENT CARES
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 505 N REYNOLDS RD
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City | TOLEDO
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State | OH
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Zip | 43615-0705
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Country | US
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Telephone | 419-517-0146
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Fax |
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Provider Business Mailing Address
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Address Line | 505 N REYNOLDS RD
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City | TOLEDO
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State | OH
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Zip | 43615-0705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALID MAHMOUD
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Credential | MD
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Telephone | 419-517-0146
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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 | 35081650
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License Number State | OH
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