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General NPI Number Information
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NPI Number | 1588179147
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Entity Type | Organization
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Legal Business Name | A-Z URGENT CARE
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 12/05/2017
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Provider Practice Location Address
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Address Line | 3808 DAHLGREEN CT
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City | ANTIOCH
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State | TN
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Zip | 37013-4673
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Country | US
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Telephone | 615-525-7387
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Fax | 615-327-6027
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Provider Business Mailing Address
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Address Line | 3808 DAHLGREEN CT
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City | ANTIOCH
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State | TN
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Zip | 37013-4673
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Country | US
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Telephone | 615-525-7387
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Fax | 615-327-6027
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Authorized Official
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Title or Position | DIRECTOR
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Name | RITA JAKPOR
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Credential | FNP
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Telephone | 615-525-7387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19312
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License Number State | TN
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