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General NPI Number Information
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NPI Number | 1518581685
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Entity Type | Organization
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Legal Business Name | HULIN URGENT CARE SERVICES, LLC
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 6420 GROOM RD
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City | BAKER
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State | LA
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Zip | 70714-4336
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Country | US
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Telephone | 225-412-2781
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Fax | 225-412-2782
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Provider Business Mailing Address
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Address Line | 1012 PETROLEUM PKWY
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City | BROUSSARD
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State | LA
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Zip | 70518-8020
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Country | US
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Telephone | 337-465-4600
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT COORDINATOR
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Name | KELLY PREJEAN
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Credential |
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Telephone | 337-296-2527
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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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