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General NPI Number Information
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NPI Number | 1245000777
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Entity Type | Organization
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Legal Business Name | XPRESS MED URGENT CARE LLC
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 447 SUMNER AVE
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City | SPRINGFIELD
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State | MA
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Zip | 01108-2320
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Country | US
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Telephone | 860-856-1225
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Fax |
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Provider Business Mailing Address
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Address Line | 10 SKY VIEW DR
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City | AVON
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State | CT
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Zip | 06001-2885
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Country | US
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Telephone | 860-856-1225
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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. MANSOOR ANWER ZAIDI
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Credential | MD
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Telephone | 860-856-1225
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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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