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NPI 1467914994

NPI 1467914994 : VELOCITY URGENT CARE, LLC : SUFFOLK, VA

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General NPI Number Information
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    NPI Number           |    1467914994
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    Entity Type          |    Organization 
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    Legal Business Name  |    VELOCITY URGENT CARE, LLC 
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Dates
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    Enumeration Date     |    04/03/2019
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    Last Update Date     |    04/03/2019
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Provider Practice Location Address
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    Address Line         |    7394 HARBOUR TOWNE PKWY STE 5 
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    City                 |    SUFFOLK
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    State                |    VA
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    Zip                  |    23435-3473
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    Country              |    US
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    Telephone            |    757-772-6124
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7394 HARBOUR TOWNE PKWY STE 5 
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    City                 |    SUFFOLK
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    State                |    VA
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    Zip                  |    23435-3473
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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    |    PRESIDENT
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    Name                 |     ALAN  AYERS 
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    Credential           |    
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    Telephone            |    815-713-2600
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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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