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General NPI Number Information
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NPI Number | 1346658812
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Entity Type | Organization
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Legal Business Name | METRO URGENT CARE PLLC
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 3506 BARDSTOWN RD
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City | LOUISVILLE
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State | KY
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Zip | 40218
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Country | US
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Telephone | 502-797-7861
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Fax | 502-587-0390
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Provider Business Mailing Address
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Address Line | PO BOX 123
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City | EASTWOOD
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State | KY
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Zip | 40018-0123
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Country | US
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Telephone | 502-797-7861
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Fax | 502-587-0394
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Authorized Official
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Title or Position | CEO
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Name | DR. AKASHA HAQ
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Credential | MD
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Telephone | 502-797-7861
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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 | 33462
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 32576
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License Number State | KY
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