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General NPI Number Information
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NPI Number | 1184810822
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Entity Type | Organization
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Legal Business Name | MARTINEZ URGENT CARE
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 210 OAK ST
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City | MARTINEZ
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State | GA
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Zip | 30907-5139
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Country | US
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Telephone | 706-651-9208
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Fax | 706-863-2587
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Provider Business Mailing Address
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Address Line | 210 OAK ST
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City | MARTINEZ
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State | GA
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Zip | 30907-5139
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Country | US
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Telephone | 706-651-9208
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Fax | 706-863-2587
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KATE DANILOVICH
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Credential |
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Telephone | 706-855-1755
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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 | 027003
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License Number State | GA
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