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General NPI Number Information
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NPI Number | 1427372226
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Entity Type | Organization
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Legal Business Name | CENTRAL COAST URGENT CARE INC
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 783 QUINTANA RD
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City | MORRO BAY
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State | CA
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Zip | 93442-1966
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Country | US
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Telephone | 805-771-0108
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Fax | 805-771-0111
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Provider Business Mailing Address
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Address Line | PO BOX 727
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City | MORRO BAY
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State | CA
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Zip | 93443-0727
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Country | US
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Telephone | 805-771-0108
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Fax | 805-771-0111
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC N SORENSEN
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Credential | M. D.
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Telephone | 805-771-0108
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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 | A34991
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License Number State | CA
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