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General NPI Number Information
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NPI Number | 1629665435
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Entity Type | Organization
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Legal Business Name | HULIN URGENT CARE SERVICES LLC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 300 HOSPITAL RD
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City | NEW ROADS
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State | LA
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Zip | 70760-2621
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Country | US
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Telephone | 225-310-6501
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Fax | 225-310-6502
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Provider Business Mailing Address
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Address Line | 600 JEFFERSON ST STE 600
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City | LAFAYETTE
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State | LA
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Zip | 70501-6987
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Country | US
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Telephone | 337-202-0720
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAYT W. HULIN
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Credential |
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Telephone | 337-465-4600
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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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