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General NPI Number Information
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NPI Number | 1306927389
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Entity Type | Organization
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Legal Business Name | ADVANCED URGENT CARE, P.C.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 7200 HERITAGE VILLAGE PLZ SUITE 101
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City | GAINESVILLE
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State | VA
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Zip | 20155-3069
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Country | US
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Telephone | 571-261-4165
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Fax | 571-261-4166
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Provider Business Mailing Address
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Address Line | 7200 HERITAGE VILLAGE PLZ SUITE 101
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City | GAINESVILLE
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State | VA
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Zip | 20155-3069
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Country | US
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Telephone | 571-261-4165
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Fax | 571-261-4166
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Authorized Official
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Title or Position | PRESIDENT/M.D.
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Name | MS. REEMA A CHAUDRI
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Credential | M.D.
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Telephone | 571-261-4165
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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 | VA
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