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General NPI Number Information
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NPI Number | 1235553496
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Entity Type | Organization
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Legal Business Name | KEYSTONE MEDICAL URGENT CARE, LLC
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Dates
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Enumeration Date | 02/08/2014
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 1555 W. STREET ROAD
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City | WARMINSTER
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State | PA
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Zip | 18974-3100
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Country | US
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Telephone | 212-257-2424
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Fax | 929-332-2565
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Provider Business Mailing Address
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Address Line | 1555 W. STREET ROAD
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City | WARMINSTER
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State | PA
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Zip | 18974-3100
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Country | US
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Telephone | 630-952-1412
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Fax | 215-293-9562
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SAMPSON DAVIS
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Credential | MD
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Telephone | 212-257-2424
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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 | MD067050
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License Number State | PA
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Taxonomy #2
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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 | PA
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