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General NPI Number Information
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NPI Number | 1215952114
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Entity Type | Organization
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Legal Business Name | PROMPTCARE PC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3641 HIGHWAY 95
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-8151
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Country | US
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Telephone | 928-704-4334
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Fax | 928-704-4445
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Provider Business Mailing Address
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Address Line | 3641 HIGHWAY 95
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-8151
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Country | US
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Telephone | 928-704-4334
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Fax | 928-704-4445
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA GULYANICS
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Credential | DO
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Telephone | 928-704-4334
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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 | OTC2710
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License Number State | AZ
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