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General NPI Number Information
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NPI Number | 1366005399
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Entity Type | Organization
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Legal Business Name | WELLNOW URGENT CARE, P.C.
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 1233 ARSENAL ST
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City | WATERTOWN
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State | NY
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Zip | 13601-2213
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Country | US
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Telephone | 315-221-5289
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Fax | 315-221-5290
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Provider Business Mailing Address
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Address Line | PO BOX 500
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City | ELLICOTTVILLE
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State | NY
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Zip | 14731-0500
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Country | US
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Telephone | 716-699-9032
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Fax | 716-699-9032
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Authorized Official
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Title or Position | MANAGER PAYER RELATIONS
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Name | TRACY MARIE SCIOLINO
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Credential |
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Telephone | 716-699-9032
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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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