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General NPI Number Information
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NPI Number | 1336557438
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Entity Type | Organization
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Legal Business Name | ACUTE & PRIMARY CARE OF COLUMBUS, INC
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 1916 MANCHESTER EXPY
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City | COLUMBUS
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State | GA
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Zip | 31904-6752
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Country | US
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Telephone | 518-258-5807
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 MANCHESTER EXPY
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City | COLUMBUS
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State | GA
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Zip | 31904-6752
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Country | US
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Telephone | 518-258-5807
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREA IQBAL
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Credential |
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Telephone | 518-258-5807
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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 | 58739
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License Number State | GA
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