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General NPI Number Information
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NPI Number | 1467532507
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Entity Type | Organization
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Legal Business Name | CAMAL LLC DBA ST E'S URGENT CARE
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 1 ELIZABETH PL SUITE 100
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City | DAYTON
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State | OH
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Zip | 45417-3445
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Country | US
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Telephone | 937-229-9800
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Fax | 937-222-2544
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Provider Business Mailing Address
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Address Line | 1 ELIZABETH PL SUITE 100
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City | DAYTON
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State | OH
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Zip | 45417-3445
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Country | US
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Telephone | 937-229-9800
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Fax | 937-222-2544
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Authorized Official
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Title or Position | OWNER
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Name | MORRIS L BROWN
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Credential | M.D.
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Telephone | 937-229-9800
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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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