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General NPI Number Information
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NPI Number | 1497397632
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS URGENT CARE INC
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 36290 HIDDEN SPRINGS RD STE D&E
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City | WILDOMAR
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State | CA
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Zip | 92595-5802
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Country | US
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Telephone | 661-829-6747
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Fax |
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Provider Business Mailing Address
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Address Line | 36290 HIDDEN SPRINGS RD STE D&E
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City | WILDOMAR
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State | CA
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Zip | 92595-5802
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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 | OWNER
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Name | ARTIN MASSIHI
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Credential |
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Telephone | 661-829-6747
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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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