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General NPI Number Information
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NPI Number | 1396800256
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Entity Type | Organization
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Legal Business Name | FLORENCE URGENT CARE
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 8820 BANKERS ST
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City | FLORENCE
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State | KY
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Zip | 41042-4212
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Country | US
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Telephone | 859-647-1918
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Fax | 859-647-7790
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Provider Business Mailing Address
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Address Line | 8820 BANKERS ST
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City | FLORENCE
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State | KY
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Zip | 41042-4212
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Country | US
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Telephone | 859-647-1918
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Fax | 859-647-7790
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ASEM MOHAMED ZINEDDIN
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Credential | M.D.
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Telephone | 859-647-1918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 34848
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License Number State | KY
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