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General NPI Number Information
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NPI Number | 1235684960
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE URGENT CARE, INC.
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 148 N GRAND AVE
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City | GLENDORA
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State | CA
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Zip | 91741-2434
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Country | US
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Telephone | 626-594-0478
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Fax | 626-594-0575
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Provider Business Mailing Address
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Address Line | 1190 MEDFORD RD
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City | PASADENA
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State | CA
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Zip | 91107-1702
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Country | US
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Telephone | 626-594-0478
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC D BROWN
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Credential | MD
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Telephone | 626-594-0478
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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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