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General NPI Number Information
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NPI Number | 1245787084
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Entity Type | Organization
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Legal Business Name | OLIVER WINSTON BEHAVIORAL URGENT CARE LLC
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 1618 HARRODSBURG RD
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City | LEXINGTON
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State | KY
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Zip | 40504-3706
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Country | US
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Telephone | 859-444-5790
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Fax | 859-444-5791
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Provider Business Mailing Address
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Address Line | 2220 EXECUTIVE DR STE 101
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City | LEXINGTON
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State | KY
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Zip | 40505-4871
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Country | US
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Telephone | 859-309-8737
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Fax | 859-444-5791
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Authorized Official
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Title or Position | OWNER
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Name | DHAVAL PATEL
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Credential |
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Telephone | 859-309-8737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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