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General NPI Number Information
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NPI Number | 1255094660
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Entity Type | Organization
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Legal Business Name | TUSTIN URGENT CARE APC
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 4332 KATELLA AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3564
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Country | US
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Telephone | 562-554-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 5888 EDINGER AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-1705
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Country | US
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Telephone | 714-867-7900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZAID NOMAN
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Credential |
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Telephone | 562-554-7500
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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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