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General NPI Number Information
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NPI Number | 1538995956
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Entity Type | Organization
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Legal Business Name | SPRING CARE MINOR EMERGENCY PLLC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 2104 FM 2920 RD STE B
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City | SPRING
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State | TX
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Zip | 77388-3677
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Country | US
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Telephone | 349-224-2051
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Fax | 832-791-5130
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Provider Business Mailing Address
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Address Line | 2104 FM 2920 RD STE B
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City | SPRING
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State | TX
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Zip | 77388-3677
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Country | US
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Telephone | 349-224-2051
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Fax | 832-791-5130
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Authorized Official
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Title or Position | OWNER/CEO/PROVIDER
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Name | MICHAEL LUKENOVICH
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Credential | NP
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Telephone | 349-224-2051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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