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General NPI Number Information
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NPI Number | 1316338619
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Entity Type | Organization
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Legal Business Name | PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 1080 N INDIAN CANYON DR SUITE #206
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4869
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Country | US
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Telephone | 760-864-1000
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Fax | 760-864-1005
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Provider Business Mailing Address
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Address Line | 31938 TEMECULA PKWY SUITE #A337
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City | TEMECULA
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State | CA
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Zip | 92592-6810
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Country | US
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Telephone | 207-217-5451
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID SCOTT JOHNSON
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Credential | M.D.
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Telephone | 760-864-1000
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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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