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General NPI Number Information
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NPI Number | 1528123510
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Entity Type | Organization
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Legal Business Name | DOCTORS URGENT CARE LLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 985 ROBERT BLVD STE 101
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City | SLIDELL
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State | LA
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Zip | 70458-2063
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Country | US
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Telephone | 985-690-8300
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Fax | 985-690-8301
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Provider Business Mailing Address
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Address Line | 985 ROBERT BLVD STE 101
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City | SLIDELL
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State | LA
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Zip | 70458-2063
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Country | US
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Telephone | 985-690-8300
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Fax | 985-690-8301
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MS. LISA D STALLMANN
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Credential |
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Telephone | 985-690-8360
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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 | 30283
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License Number State | LA
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