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General NPI Number Information
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NPI Number | 1376994533
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Entity Type | Organization
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Legal Business Name | SHAFTER URGENT CARE
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 10/31/2017
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Provider Practice Location Address
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Address Line | 501 MUNZER ST STE A
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City | SHAFTER
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State | CA
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Zip | 93263
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Country | US
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Telephone | 661-429-2739
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Fax | 661-459-3535
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Provider Business Mailing Address
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Address Line | 501 MUNZER ST STE A
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City | SHAFTER
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State | CA
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Zip | 93263-2042
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Country | US
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Telephone | 661-429-2739
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Fax | 661-459-3535
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NOVIRA SUNNER
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Credential |
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Telephone | 661-599-5310
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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 | A68509
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License Number State | CA
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