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General NPI Number Information
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NPI Number | 1306387188
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Entity Type | Organization
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Legal Business Name | CHISHOLM TRAIL URGENT CARE PLLC
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 7214 CRAWFORD ROAD SUITE 150
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City | ARGYLE
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State | TX
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Zip | 76226
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Country | US
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Telephone | 877-485-4474
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 722676
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City | NORMAN
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State | OK
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Zip | 73070-9033
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Country | US
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Telephone | 877-485-4474
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | SHANE COLE
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Credential | MD
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Telephone | 877-485-4474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 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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