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General NPI Number Information
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NPI Number | 1497039929
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Entity Type | Organization
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Legal Business Name | NEO URGENT CARE LLC
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 2562 W MARKET ST
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City | TIFFIN
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State | OH
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Zip | 44883-8874
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Country | US
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Telephone | 567-938-8008
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Fax | 567-938-8009
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Provider Business Mailing Address
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Address Line | 5340 GORDON WAY
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City | DUBLIN
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State | OH
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Zip | 43017-0000
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Country | US
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Telephone | 614-203-0281
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MAZHAR HUSSAIN
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Credential | M.D.
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Telephone | 614-203-0281
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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 | OH
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