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General NPI Number Information
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NPI Number | 1336662238
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Entity Type | Organization
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Legal Business Name | ROBERTSDALE URGENT CARE LLC
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Dates
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Enumeration Date | 07/23/2017
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Last Update Date | 07/23/2017
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Provider Practice Location Address
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Address Line | 18557 E HAMMOND ST
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City | ROBERTSDALE
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State | AL
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Zip | 36567-3629
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Country | US
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Telephone | 251-947-3591
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Fax | 251-947-3593
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Provider Business Mailing Address
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Address Line | PO BOX 2260
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City | ROBERTSDALE
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State | AL
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Zip | 36567-2260
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMY YOUNCE
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Credential | CRNP
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Telephone | 251-947-3591
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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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