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General NPI Number Information
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NPI Number | 1417844291
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Entity Type | Organization
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Legal Business Name | CROSSROADS URGENT CARE, PLLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 524 MARKET DR
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City | LENOIR CITY
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State | TN
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Zip | 37771-6463
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Country | US
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Telephone | 865-988-0096
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Fax | 865-988-0025
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Provider Business Mailing Address
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Address Line | 30 BURTON HILLS BLVD STE 175
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City | NASHVILLE
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State | TN
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Zip | 37215-6403
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Country | US
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Telephone | 615-988-2000
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | STEPHANIE HICKS
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Credential |
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Telephone | 615-988-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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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 |
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