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General NPI Number Information
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NPI Number | 1427265776
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Entity Type | Organization
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Legal Business Name | ER QUICKCARE PL
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 13030 LIVINGSTON RD SUITE 3
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City | NAPLES
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State | FL
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Zip | 34105-5024
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Country | US
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Telephone | 239-403-3772
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Fax | 239-403-3770
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Provider Business Mailing Address
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Address Line | 13030 LIVINGSTON RD SUITE 3
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City | NAPLES
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State | FL
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Zip | 34105-5024
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Country | US
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Telephone | 239-403-3772
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY MICHAEL ROSENFIELD
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Credential |
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Telephone | 239-403-3772
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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 | ME0053433
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License Number State | FL
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