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General NPI Number Information
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NPI Number | 1255767927
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Entity Type | Organization
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Legal Business Name | URGENT CARE C II CORP
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 8900 SW 24 ST. STE. #203B
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 786-801-3601
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Fax | 786-801-3602
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Provider Business Mailing Address
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Address Line | 8900 SW 24 ST. STE. 203B
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City | MIAMI
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State | FL
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Zip | 33165
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Country | US
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Telephone | 786-801-3601
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Fax | 786-801-3602
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. RAMON SANTIAGO
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Credential | M.D.
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Telephone | 786-801-3601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME17400
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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