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General NPI Number Information
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NPI Number | 1548456494
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Entity Type | Organization
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Legal Business Name | URGENT CARE NORTHWEST PC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 2708 HIGHWAY 78 E
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City | JASPER
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State | AL
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Zip | 35501-3430
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Country | US
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Telephone | 205-387-2253
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Fax | 205-387-2269
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Provider Business Mailing Address
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Address Line | 2708 HIGHWAY 78 E
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City | JASPER
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State | AL
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Zip | 35501-3430
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Country | US
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Telephone | 205-387-2253
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Fax | 205-387-2405
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. DEAN ROBERT NADEN
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Credential | DO
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Telephone | 205-387-2253
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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