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General NPI Number Information
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NPI Number | 1174082820
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Entity Type | Organization
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Legal Business Name | URGENTPOINT TRANSFORMATION, PC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 06/27/2020
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Provider Practice Location Address
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Address Line | 12575 BEATRICE ST
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City | LOS ANGELES
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State | CA
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Zip | 90066-7001
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Country | US
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Telephone | 323-438-0483
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Fax | 310-862-6817
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Provider Business Mailing Address
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Address Line | 12575 BEATRICE ST
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City | LOS ANGELES
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State | CA
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Zip | 90066-7001
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Country | US
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Telephone | 323-438-0483
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Fax | 310-862-6817
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Authorized Official
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Title or Position | COO
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Name | MR. JEFF MARINUCCI
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Credential |
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Telephone | 323-438-0483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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