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General NPI Number Information
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NPI Number | 1184008070
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Entity Type | Organization
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Legal Business Name | DR MELISSA GARGASZ URGENT CARE LLC
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 4353 E STATE ROUTE 73 SUITE 150
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City | WAYNESVILLE
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State | OH
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Zip | 45068-8812
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Country | US
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Telephone | 513-855-4336
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Fax | 513-855-4436
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Provider Business Mailing Address
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Address Line | 4353 E STATE ROUTE 73 SUITE 150
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City | WAYNESVILLE
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State | OH
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Zip | 45068-8812
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Country | US
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Telephone | 513-855-4336
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Fax | 513-855-4436
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA A GARGASZ
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Credential | DO
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Telephone | 513-855-4336
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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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