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General NPI Number Information
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NPI Number | 1447668876
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Entity Type | Organization
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Legal Business Name | IMMEDIACY URGENT CARE INC.
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 8283 GROVE AVE STE 102A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3137
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Country | US
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Telephone | 323-422-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 8283 GROVE AVE STE 102A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3137
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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 | OWNER
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Name | DR. ELLIOT WEINSTEIN
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Credential | M.D.
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Telephone | 323-422-5000
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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 |
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