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General NPI Number Information
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NPI Number | 1639374317
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Entity Type | Organization
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Legal Business Name | TROYER URGENT CARE, INC.
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 10/31/2008
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Provider Practice Location Address
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Address Line | 1810 MESQUITE AVE SUITE B
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-5886
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Country | US
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Telephone | 928-453-4600
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Fax | 928-453-4606
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Provider Business Mailing Address
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Address Line | 1810 MESQUITE AVE SUITE B
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-5886
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Country | US
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Telephone | 928-453-4600
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Fax | 928-453-4606
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RANDAL L TROYER
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Credential | M.D.
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Telephone | 928-453-4600
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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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