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General NPI Number Information
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NPI Number | 1518394386
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Entity Type | Organization
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Legal Business Name | COMMUNITY URGENT CENTER,LLC
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 34 WEST AVE
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City | BROCKPORT
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State | NY
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Zip | 14420-1304
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Country | US
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Telephone | 585-391-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 245 S. MAIN ST
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City | ALBION
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State | NY
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Zip | 14411
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Country | US
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Telephone | 585-391-1424
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PANKAJ GARG
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Credential |
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Telephone | 585-391-1424
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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 | 199906
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License Number State | NY
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