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General NPI Number Information
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NPI Number | 1265700157
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Entity Type | Organization
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Legal Business Name | ALLIANCE URGENT CARE, INC
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 3853 W STETSON AVE SUITE 100
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City | HEMET
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State | CA
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Zip | 92545-9674
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Country | US
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Telephone | 951-929-6900
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Fax | 951-929-6800
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Provider Business Mailing Address
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Address Line | 3853 W STETSON AVE SUITE 100
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City | HEMET
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State | CA
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Zip | 92545-9674
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN ELLIS
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Credential | M.D.
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Telephone | 951-929-6900
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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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