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General NPI Number Information
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NPI Number | 1427441286
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Entity Type | Organization
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Legal Business Name | MODERN URGENT CARE INC.
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 2519 E WHITMORE AVE
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City | CERES
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State | CA
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Zip | 95307-2634
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Country | US
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Telephone | 209-818-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 2519 E WHITMORE AVE
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City | CERES
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State | CA
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Zip | 95307-2634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | HARINDER JHATU
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Credential | PA
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Telephone | 209-818-3414
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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 | CA
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