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General NPI Number Information
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NPI Number | 1467960914
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Entity Type | Organization
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Legal Business Name | ANAHEIM URGENT CARE, INC.
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 600 S LAKE AVE STE 105
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City | PASADENA
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State | CA
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Zip | 91106-3955
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Country | US
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Telephone | 626-844-8848
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Fax | 626-844-3688
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Provider Business Mailing Address
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Address Line | 831 S STATE COLLEGE BLVD
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City | ANAHEIM
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State | CA
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Zip | 92806-4613
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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 | MANAGER
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Name | JAMALA PRATT
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Credential |
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Telephone | 714-533-2273
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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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