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General NPI Number Information
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NPI Number | 1295001576
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Entity Type | Organization
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Legal Business Name | COMMUNITY URGENT CARE PC
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 1530 43RD ST
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City | BROOKLYN
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State | NY
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Zip | 11219-1605
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Country | US
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Telephone | 718-851-3000
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Fax | 718-966-2835
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Provider Business Mailing Address
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Address Line | 4403 15TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11219-1604
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Country | US
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Telephone | 718-373-1000
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Fax | 718-966-2835
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ASHLEY TERRONE
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Credential |
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Telephone | 929-564-8160
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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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