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General NPI Number Information
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NPI Number | 1457768913
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Entity Type | Organization
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Legal Business Name | EAST WEST URGENT CARE
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 38345 30TH ST E STE B1A
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City | PALMDALE
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State | CA
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Zip | 93550-6508
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Country | US
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Telephone | 661-310-3388
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Fax | 661-526-0101
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Provider Business Mailing Address
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Address Line | 38345 30TH ST E STE B-1A
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City | PALMDALE
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State | CA
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Zip | 93550-6508
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Country | US
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Telephone | 661-310-3388
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Fax | 661-526-0101
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Authorized Official
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Title or Position | OWNER
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Name | MR. ASHWANI BATRA
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Credential | MBBS, MSN, NP-BC
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Telephone | 661-310-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 20139
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 20139
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 20139
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License Number State | CA
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