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General NPI Number Information
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NPI Number | 1386896991
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Entity Type | Organization
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Legal Business Name | BAY VIEW URGENT CARE LLC
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 573 N AIRPORT RD
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-5369
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Country | US
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Telephone | 386-427-0396
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Fax | 386-427-0397
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Provider Business Mailing Address
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Address Line | 573 N AIRPORT RD
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-5369
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Country | US
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Telephone | 386-427-0396
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Fax | 386-427-0397
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES D DUVA
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Credential | MD
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Telephone | 386-274-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | FL
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