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General NPI Number Information
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NPI Number | 1366919243
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Entity Type | Organization
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Legal Business Name | TOWER HEALTH URGENT CARE, LLC
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | TOWER HEALTH URGENT CARE, LLC 635 CONESTOGA ROAD
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City | VILLANOVA
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State | PA
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Zip | 19085-1302
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Country | US
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Telephone | 610-710-4444
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Fax | 610-710-4440
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Provider Business Mailing Address
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Address Line | TOWER HEALTH URGENT CARE, LLC 10050 ROOSEVELT BLVD SUITE 2
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3956
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Country | US
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Telephone | 215-552-2818
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Fax | 484-713-5255
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. GARY CONNER
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Credential | VP & CFO
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Telephone | 484-628-8790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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