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General NPI Number Information
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NPI Number | 1447779681
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Entity Type | Organization
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Legal Business Name | ALL CARE URGENT CARE, LLC DBA FAMILY EXPRESS URGENT CARE
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 21750 STATE ROAD 54
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City | LUTZ
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State | FL
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Zip | 33549-6921
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Country | US
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Telephone | 352-688-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 225 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-5692
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Country | US
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Telephone | 352-688-0100
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Fax | 352-688-5143
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Authorized Official
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Title or Position | OWNER
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Name | DR. IMAD JANDALI
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Credential | M.D.
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Telephone | 352-238-0081
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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 | ME52919
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License Number State | FL
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