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General NPI Number Information
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NPI Number | 1588024061
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Entity Type | Organization
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Legal Business Name | DTLA URGENT CARE INCORPORATED
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 431 S HEWITT ST # B
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City | LOS ANGELES
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State | CA
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Zip | 90013
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Country | US
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Telephone | 909-982-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 431 S HEWITT ST # B
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City | LOS ANGELES
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State | CA
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Zip | 90013-2215
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JALAL BADDAY
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Credential | MD
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Telephone | 909-982-8044
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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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