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General NPI Number Information
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NPI Number | 1376426650
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Entity Type | Organization
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Legal Business Name | HOLBROOK URGENT CARE, LLC
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 500 E IOWA ST
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City | HOLBROOK
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State | AZ
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Zip | 86025-2750
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Country | US
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Telephone | 928-524-3913
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Fax | 928-433-5059
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Provider Business Mailing Address
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Address Line | 500 E IOWA ST
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City | HOLBROOK
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State | AZ
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Zip | 86025-2750
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Country | US
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Telephone | 928-524-3913
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Fax | 928-433-5059
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Authorized Official
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Title or Position | CHIEF ADMINISTRATOR
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Name | ANDREW L MAESTAS
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Credential | MD
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Telephone | 928-524-3913
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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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