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General NPI Number Information
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NPI Number | 1497384895
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Entity Type | Organization
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Legal Business Name | ALLIANCE URGENT CARE CLINIC
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 1938 CRESCENT MEADOWS DR STE C
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City | HOLLY SPRINGS
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State | MS
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Zip | 38635-7419
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Country | US
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Telephone | 662-252-1599
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Fax | 662-252-1986
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Provider Business Mailing Address
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Address Line | PO BOX 5083
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City | HOLLY SPRINGS
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State | MS
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Zip | 38634-5083
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Country | US
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Telephone | 662-252-1599
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Fax | 662-252-6790
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH WILLIAMS
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Credential | MD
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Telephone | 662-252-1599
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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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