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General NPI Number Information
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NPI Number | 1447691548
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Entity Type | Organization
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Legal Business Name | AMORY URGENT CARE, LLC
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 10/12/2019
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Provider Practice Location Address
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Address Line | 906 HIGHWAY 278 E
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City | AMORY
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State | MS
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Zip | 38821-5511
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Country | US
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Telephone | 662-256-5612
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Fax | 662-256-5264
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Provider Business Mailing Address
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Address Line | 906 HIGHWAY 278 E
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City | AMORY
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State | MS
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Zip | 38821-5511
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Country | US
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Telephone | 662-256-5612
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Fax | 662-256-5264
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. BRENNAN DRISCOLL UTER
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Credential | MHA
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Telephone | 225-706-3033
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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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