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General NPI Number Information
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NPI Number | 1275624652
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Entity Type | Organization
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Legal Business Name | RAPIDCARE URGENT CARE CTR SO CALIF URGENT CARE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10841 WHITE OAK AVE # 107
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3811
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Country | US
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Telephone | 909-581-7266
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Fax | 909-581-7267
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Provider Business Mailing Address
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Address Line | 10841 WHITE OAK AVE # 107
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3811
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Country | US
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Telephone | 909-581-7266
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Fax | 909-581-7267
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Authorized Official
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Title or Position | OWNER
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Name | ARA TAVITIAN
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Credential | M.D.
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Telephone | 530-676-8980
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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 | CA
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