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General NPI Number Information
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NPI Number | 1215745062
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Entity Type | Organization
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Legal Business Name | ACCESS CLINIC AND URGENT CARE
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 808 BERRY ST APT 446
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City | SAINT PAUL
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State | MN
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Zip | 55114-1094
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Country | US
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Telephone | 614-961-2438
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Fax |
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Provider Business Mailing Address
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Address Line | 808 BERRY ST APT 446
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City | SAINT PAUL
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State | MN
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Zip | 55114-1094
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Country | US
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Telephone | 614-961-2438
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | AMINA ADAN MOHAMED
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Credential | NP
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Telephone | 614-961-2438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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