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General NPI Number Information
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NPI Number | 1558592352
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Entity Type | Organization
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Legal Business Name | RAPID REMEDY URGENT CARE CENTER PLLC
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 700 S MAIN ST
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City | GROVE
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State | OK
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Zip | 74344-2841
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Country | US
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Telephone | 918-787-4200
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Fax | 918-787-4299
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Provider Business Mailing Address
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Address Line | 700 S MAIN ST
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City | GROVE
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State | OK
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Zip | 74344-2841
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Country | US
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Telephone | 918-787-4200
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Fax | 918-787-4299
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Authorized Official
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Title or Position | OWNER
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Name | SHAWN ANDERSON
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Credential | MD
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Telephone | 918-787-4200
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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 | 22018
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License Number State | OK
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