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General NPI Number Information
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NPI Number | 1629470489
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Entity Type | Organization
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Legal Business Name | TWEEDY URGENT CARE INC.APC
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 2809 TWEEDY BLVD
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City | SOUTH GATE
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State | CA
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Zip | 90280-5538
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Country | US
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Telephone | 323-567-9919
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Fax | 323-567-9902
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Provider Business Mailing Address
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Address Line | 2809 TWEEDY BLVD
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City | SOUTH GATE
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State | CA
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Zip | 90280-5538
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Country | US
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Telephone | 323-567-9919
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Fax | 323-567-9902
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN BARKODAR
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Credential | M.D.
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Telephone | 323-567-9919
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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 | A44541
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License Number State | CA
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