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General NPI Number Information
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NPI Number | 1619759875
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Entity Type | Organization
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Legal Business Name | INTEGRUM URGENT CARE
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 1900 E DESERT INN RD # 2
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City | LAS VEGAS
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State | NV
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Zip | 89169-3211
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Country | US
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Telephone | 702-508-6786
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Fax | 702-583-6338
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Provider Business Mailing Address
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Address Line | PO BOX 370396
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City | LAS VEGAS
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State | NV
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Zip | 89137-0396
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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 | MEMBER
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Name | PEJMAN KHARAZI
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Credential | MD
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Telephone | 310-980-3074
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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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