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General NPI Number Information
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NPI Number | 1487167961
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Entity Type | Organization
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Legal Business Name | ALBUQUERQUE URGENT CARE WALK IN CLINIC PC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 5850 EUBANK BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111
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Country | US
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Telephone | 313-948-3055
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Fax | 505-296-8348
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Provider Business Mailing Address
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Address Line | 1739 LASALLE RD
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City | CANTON
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State | MI
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Zip | 48187-5823
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Country | US
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Telephone | 734-560-9451
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Fax | 505-296-8348
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Authorized Official
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Title or Position | CEO
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Name | ZAHOORUL HASSAN
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Credential | MD
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Telephone | 313-948-3030
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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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