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General NPI Number Information
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NPI Number | 1619371820
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Entity Type | Organization
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Legal Business Name | URGENT CARE AT MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 2767 JANITELL RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4102
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Country | US
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Telephone | 719-453-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 2767 JANITELL RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4102
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Country | US
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Telephone | 719-453-1006
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN TORRENT
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Credential | M.D.
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Telephone | 719-365-6490
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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 | APN.0991106-NP
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License Number State | CO
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