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General NPI Number Information
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NPI Number | 1508034083
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Entity Type | Organization
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Legal Business Name | NORTH GENERAL CENTER URGENT CARE
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 02/18/2008
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Provider Practice Location Address
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Address Line | 1550 N FEDERAL HWY STE 16
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-2810
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Country | US
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Telephone | 561-733-2929
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Fax | 561-736-8467
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Provider Business Mailing Address
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Address Line | 1315 N FEDERAL HWY
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-3283
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Country | US
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Telephone | 561-733-2929
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JEAN L. RENELIEN
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Credential | M.D.
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Telephone | 561-733-2929
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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 | FL
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