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General NPI Number Information
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NPI Number | 1275927949
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Entity Type | Organization
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Legal Business Name | CITYMED URGENT CARE
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 1313 TRAVIS BLVD
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City | FAIRFIELD
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State | CA
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Zip | 94533-4621
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Country | US
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Telephone | 917-207-7266
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 DUKE CIR
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City | VACAVILLE
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State | CA
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Zip | 95688-8839
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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 | OWNER
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Name | DR. HAMED ZAMANI
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Credential | MD
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Telephone | 916-207-7266
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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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