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General NPI Number Information
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NPI Number | 1407320476
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Entity Type | Organization
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Legal Business Name | 1ST CALL URGENT CARE
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 173 NORTH C.R. BEALL BLVD. SUITE 106
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City | DEBBARY
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State | FL
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Zip | 32713
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Country | US
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Telephone | 662-820-1099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 950819
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City | LAKE MARY
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State | FL
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Zip | 32795-0819
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Country | US
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Telephone | 662-820-1099
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Fax | 321-926-3321
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN KAYOMA
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Credential | MD
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Telephone | 662-820-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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