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General NPI Number Information
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NPI Number | 1457792418
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Entity Type | Organization
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Legal Business Name | MINUTE CLINIC
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 10895 FOREST OAKS DR
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City | CHARDON
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State | OH
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Zip | 44024-9806
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Country | US
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Telephone | 216-225-5279
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Fax |
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Provider Business Mailing Address
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Address Line | 10895 FOREST OAKS DR
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City | CHARDON
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State | OH
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Zip | 44024-9806
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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 | NURSE PRACTITIONER
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Name | PAMELA WEBSTER
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Credential | NP-C
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Telephone | 12165066201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | F0613962
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License Number State | OH
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