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General NPI Number Information
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NPI Number | 1306119508
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Entity Type | Organization
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Legal Business Name | EMERGI-CARE,INC,EMERGI-CARE MEDICAL CENTER
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 4800 S APOPKA VINELAND RD
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City | ORLANDO
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State | FL
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Zip | 32819-3127
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Country | US
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Telephone | 407-876-5555
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Fax | 407-876-5557
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Provider Business Mailing Address
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Address Line | 4800 S APOPKA VINELAND RD
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City | ORLANDO
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State | FL
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Zip | 32819-3127
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Country | US
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Telephone | 407-876-5555
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Fax | 407-876-5557
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. USHA JAIN
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Credential | MD
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Telephone | 407-876-5555
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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 | FL
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 34630
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | ME34630
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License Number State | FL
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