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General NPI Number Information
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NPI Number | 1609981018
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL WALK-IN CLINIC, PA
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3101 FORNEY LN
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City | EL PASO
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State | TX
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Zip | 79935-1607
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Country | US
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Telephone | 915-317-6033
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Fax | 915-595-2231
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Provider Business Mailing Address
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Address Line | 3101 FORNEY LN
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City | EL PASO
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State | TX
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Zip | 79935-1607
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Country | US
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Telephone | 915-240-8656
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Fax | 915-595-2231
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANUEL BORREGO
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Credential | MD
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Telephone | 915-240-8656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M3476
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License Number State | TX
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