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General NPI Number Information
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NPI Number | 1538409214
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Entity Type | Organization
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Legal Business Name | ASSURANCE URGENT CARE - COPPERWOOD, LLC
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Dates
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Enumeration Date | 02/18/2013
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Last Update Date | 02/18/2013
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Provider Practice Location Address
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Address Line | 15881 FM 529 STE A AND B
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City | HOUSTON
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State | TX
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Zip | 77095
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Country | US
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Telephone | 832-427-1871
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Fax | 832-683-4235
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Provider Business Mailing Address
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Address Line | 15881 FM 529 STE A AND B
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City | HOUSTON
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State | TX
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Zip | 77095
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Country | US
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Telephone | 832-427-1871
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Fax | 832-683-4235
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Authorized Official
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Title or Position | OWNER/CEO
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Name | NADEEM A MALHI
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Credential | MD
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Telephone | 832-236-5659
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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 | M1903
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License Number State | TX
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