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General NPI Number Information
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NPI Number | 1295186286
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Entity Type | Organization
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Legal Business Name | URGENT CARE MEDICAL CENTER LLC
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 105 WEST ROAD SUITE 5
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City | ELLINGTON
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State | CT
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Zip | 06029
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Country | US
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Telephone | 860-454-0678
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Fax | 860-926-4245
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Provider Business Mailing Address
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Address Line | 105 WEST ROAD SUITE 5
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City | ELLINGTON
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State | CT
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Zip | 06029
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Country | US
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Telephone | 860-454-0678
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Fax | 860-926-4245
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR, OPERATIONS
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Name | SHELLEY RAMSDELL
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Credential |
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Telephone | 860-205-7811
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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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