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General NPI Number Information
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NPI Number | 1316018781
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Entity Type | Organization
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Legal Business Name | PRIMARY AND URGENT CARE LLC
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 231 GARRISONVILLE RD SUITE 101
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City | STAFFORD
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State | VA
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Zip | 22554-1527
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Country | US
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Telephone | 540-288-9888
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Fax | 540-288-0054
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Provider Business Mailing Address
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Address Line | PO BOX 3910
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City | FREDERICKSBURG
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State | VA
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Zip | 22402-3910
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Country | US
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Telephone | 540-785-9900
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Fax | 540-785-9960
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Authorized Official
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Title or Position | OWNER
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Name | MR. NATHER B ANSARI
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Credential | MD
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Telephone | 540-785-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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