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General NPI Number Information
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NPI Number | 1427374230
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Entity Type | Organization
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Legal Business Name | OUR URGENT CARE, LLC
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 1343 NORTH EAST SERVICE RD
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City | WARRENTON
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State | MO
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Zip | 63383
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Country | US
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Telephone | 636-377-2100
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Fax | 636-887-3022
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Provider Business Mailing Address
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Address Line | P O BOX 795216
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City | ST LOUIS
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State | MO
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Zip | 63179-0795
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Country | US
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Telephone | 636-887-3020
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Fax | 636-887-3022
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SUDHEER C ATLURI
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Credential | MD
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Telephone | 636-887-3020
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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 | 100503
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License Number State | MO
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