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General NPI Number Information
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NPI Number | 1386240539
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Entity Type | Organization
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Legal Business Name | TELE URGENT CARE OF AMERICA
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 1505 WATER SHINE WAY
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City | SNELLVILLE
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State | GA
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Zip | 30078-7765
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Country | US
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Telephone | 706-701-2621
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 WATER SHINE WAY
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City | SNELLVILLE
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State | GA
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Zip | 30078-7765
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Country | US
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Telephone | 706-705-2621
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHARITY BURDEN
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Credential | PA
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Telephone | 706-705-2621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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