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NPI 1194468785

NPI 1194468785 : URGENT CARE OF FRANKLIN, LLC : FRANKLIN, MA

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General NPI Number Information
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    NPI Number           |    1194468785
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    Entity Type          |    Organization 
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    Legal Business Name  |    URGENT CARE OF FRANKLIN, LLC 
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Dates
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    Enumeration Date     |    04/20/2022
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    Last Update Date     |    10/24/2022
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Provider Practice Location Address
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    Address Line         |    648 OLD WEST CENTRAL ST 
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    City                 |    FRANKLIN
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    State                |    MA
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    Zip                  |    02038-3826
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    Country              |    US
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    Telephone            |    860-650-3848
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1339 
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    City                 |    GLASTONBURY
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    State                |    CT
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    Zip                  |    06033-6339
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    Country              |    US
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    Telephone            |    860-650-3848
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CMO/OWNER
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    Name                 |     JEANNIE M KENKARE 
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    Credential           |    MD
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    Telephone            |    203-616-4440
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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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