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General NPI Number Information
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NPI Number | 1356547798
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Entity Type | Organization
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Legal Business Name | ULTIMATE URGENT CARE CENTERS
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 7727 W. DEER VALLEY ROAD SUITE 210
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City | PEORIA
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State | AZ
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Zip | 85382
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Country | US
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Telephone | 623-376-8822
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Fax | 623-572-8172
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Provider Business Mailing Address
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Address Line | PO BOX 26780
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City | PHOENIX
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State | AZ
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Zip | 85068
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Country | US
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Telephone | 623-376-8822
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Fax | 623-572-8172
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID C. WELCH
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Credential | DO
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Telephone | 623-376-8822
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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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