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General NPI Number Information
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NPI Number | 1508025610
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Entity Type | Organization
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Legal Business Name | URGENT CARE MEDICAL CLINIC ON VENTURA BLVD, INC.
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 20301 VENTURA BLVD SUITE 105
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2447
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Country | US
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Telephone | 818-716-5088
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Fax | 818-716-5891
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Provider Business Mailing Address
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Address Line | 20301 VENTURA BLVD SUITE 105
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2447
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Country | US
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Telephone | 818-716-5088
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Fax | 818-716-5891
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Authorized Official
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Title or Position | CEO
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Name | DR. MORRIS MESLER
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Credential | M.D.
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Telephone | 818-489-4945
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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 | G7818
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License Number State | CA
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