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General NPI Number Information
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NPI Number | 1568179448
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Entity Type | Organization
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Legal Business Name | DELRAY REGIONAL URGENT CARE LLC
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 4801 LINTON BLVD STE 10A
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6501
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Country | US
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Telephone | 561-933-4668
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Fax |
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Provider Business Mailing Address
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Address Line | 10791 EL PARAISO PL
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2707
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Country | US
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Telephone | 561-933-4668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID KATEB
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Credential | MD
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Telephone | 561-933-4668
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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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