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General NPI Number Information
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NPI Number | 1285488304
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Entity Type | Organization
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Legal Business Name | PCP URGENT CARE HOLDINGS LLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1706 SW RAILROAD AVE
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City | HAMMOND
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State | LA
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Zip | 70403-6146
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Country | US
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Telephone | 985-826-7782
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Fax | 985-318-7163
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Provider Business Mailing Address
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Address Line | 8540 SIEGEN LN STE B
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City | BATON ROUGE
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State | LA
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Zip | 70810-2372
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Country | US
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Telephone | 225-224-8690
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Fax | 225-615-7704
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Authorized Official
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Title or Position | CHIEF STRATEGY OFFICER
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Name | MR. STEVEN EDWARD PRESLEY
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Credential | PA-C
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Telephone | 225-663-6827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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