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General NPI Number Information
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NPI Number | 1376159053
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Entity Type | Organization
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Legal Business Name | QUICK MED CENTER LLC
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 10825 W MCDOWELL RD SUITE 100
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City | AVONDALE
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State | AZ
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Zip | 85392
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Country | US
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Telephone | 844-900-2567
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Fax | 866-855-4243
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Provider Business Mailing Address
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Address Line | PO BOX 41638
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City | PHOENIX
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State | AZ
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Zip | 85080-1638
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Country | US
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Telephone | 844-900-2567
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Fax | 866-855-4243
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Authorized Official
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Title or Position | CREDENTIALIST
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Name | ROXANNA OCHOA
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Credential |
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Telephone | 844-900-2567
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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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