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General NPI Number Information
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NPI Number | 1275982027
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Entity Type | Organization
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Legal Business Name | URGENT CARE TRAVEL INC
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Dates
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Enumeration Date | 06/11/2016
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 970 CASSVILLE WHITE RD NE
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City | CARTERSVILLE
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State | GA
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Zip | 30121-7203
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Country | US
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Telephone | 770-386-0707
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Fax | 770-386-0799
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Provider Business Mailing Address
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Address Line | 9903 SANTA MONICA BLVD STE 4500
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1671
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Country | US
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Telephone | 310-471-3853
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Fax | 310-440-0997
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DEBORAH KATHERINE MITCHELL
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Credential |
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Telephone | 310-471-3753
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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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