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General NPI Number Information
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NPI Number | 1407745789
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Entity Type | Organization
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Legal Business Name | INNOVATIVE URGENT CARE, LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 672 OLD MILL RD STE N
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1363
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Country | US
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Telephone | 301-482-1000
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Fax | 866-531-4703
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Provider Business Mailing Address
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Address Line | 9809 MAIN ST STE 103
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City | DAMASCUS
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State | MD
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Zip | 20872-2090
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Country | US
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Telephone | 301-482-1000
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Fax | 866-531-4703
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Authorized Official
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Title or Position | PRESIDENT
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Name | ESTEBAN SCHABELMAN
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Credential | MD
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Telephone | 301-482-1000
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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 |
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License Number State |
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