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NPI 1467995589

NPI 1467995589 : QUICK URGENT CARE LLC : MOORE, OK

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General NPI Number Information
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    NPI Number           |    1467995589
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUICK URGENT CARE LLC 
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Dates
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    Enumeration Date     |    11/21/2016
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2212 N BROADWAY ST 
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    City                 |    MOORE
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    State                |    OK
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    Zip                  |    73160-4303
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    Country              |    US
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    Telephone            |    405-285-7222
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    Fax                  |    405-364-5379
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Provider Business Mailing Address
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    Address Line         |    2212 N BROADWAY ST 
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    City                 |    MOORE
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    State                |    OK
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    Zip                  |    73160-4303
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    Country              |    US
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    Telephone            |    405-285-7222
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    Fax                  |    405-285-7227
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Authorized Official
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    Title or Position    |    OWNER / PROVIDER
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    Name                 |    MR. IFTIKHAR A SANDHU 
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    Credential           |    PA-C
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    Telephone            |    405-285-7222
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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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