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General NPI Number Information
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NPI Number | 1538105572
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Entity Type | Organization
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Legal Business Name | NTC URGENT CARE CENTERS LLC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 1503 SUNRISE PLAZA
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City | CLERMONT
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State | FL
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Zip | 34741
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Country | US
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Telephone | 352-243-3555
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Fax | 352-243-6614
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Provider Business Mailing Address
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Address Line | 1101 CITRUS TOWER BLVD
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City | CLERMONT
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State | FL
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Zip | 34711-1905
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Country | US
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Telephone | 352-243-9700
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Fax | 352-394-5563
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DEBRA L KUMINKA
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Credential |
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Telephone | 352-394-1969
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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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