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General NPI Number Information
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NPI Number | 1609520659
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Entity Type | Organization
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Legal Business Name | ON CALL MOBILE URGENT CARE LLC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 3833 RIDERWOOD DR
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City | SALISBURY
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State | MD
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Zip | 21804-2547
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Country | US
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Telephone | 410-936-7445
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Fax | 410-304-0677
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Provider Business Mailing Address
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Address Line | 1147 S SALISBURY BLVD STE 8
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City | SALISBURY
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State | MD
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Zip | 21801-6865
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Country | US
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Telephone | 410-936-7445
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Fax | 410-304-0677
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROBYN HOLLAND
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Credential | PA-C
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Telephone | 410-726-7416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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