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General NPI Number Information
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NPI Number | 1528874765
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Entity Type | Organization
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Legal Business Name | NEWBURGH URGENT CARE LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 607 W 6TH STREET STE B
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City | JASPER
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State | IN
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Zip | 47546-2628
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Country | US
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Telephone | 812-803-3775
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Fax |
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Provider Business Mailing Address
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Address Line | 3245 MOUNT MORIAH AVE STE 10
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City | OWENSBORO
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State | KY
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Zip | 42303-7834
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Country | US
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Telephone | 270-663-0955
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JOHN MCNULTY
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Credential |
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Telephone | 270-663-0955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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