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General NPI Number Information
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NPI Number | 1275624579
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Entity Type | Organization
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Legal Business Name | EPN URGENT CARE LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 6400 DAVIS BLVD
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City | NAPLES
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State | FL
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Zip | 34104-5321
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Country | US
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Telephone | 239-455-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 GOODLETTE RD N SUITE 204
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City | NAPLES
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State | FL
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Zip | 34102-5497
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Country | US
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Telephone | 888-311-8760
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN P LEWIS
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Credential | MD
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Telephone | 239-262-4519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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