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General NPI Number Information
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NPI Number | 1346138674
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Entity Type | Organization
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Legal Business Name | URGENT CARE MD
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 4500 SATELLITE BLVD STE 1140
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City | DULUTH
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State | GA
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Zip | 30096-5048
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Country | US
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Telephone | 678-404-7643
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Fax | 678-348-7331
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Provider Business Mailing Address
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Address Line | 4500 SATELLITE BLVD STE 1140
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City | DULUTH
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State | GA
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Zip | 30096-5048
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Country | US
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Telephone | 678-404-7643
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Fax | 678-348-7331
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ANDY TRUONG
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Credential | MD
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Telephone | 404-433-0346
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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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