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General NPI Number Information
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NPI Number | 1639413388
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Entity Type | Organization
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Legal Business Name | BREA URGENT CARE INCORPORATED
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 395 WEST CENTRAL AVE SUITE A
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City | BREA
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State | CA
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Zip | 92821
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Country | US
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Telephone | 949-752-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 395 WEST CENTRAL AVE SUITE A
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City | BREA
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State | CA
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Zip | 92821
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Country | US
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Telephone | 949-752-6300
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Fax |
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Authorized Official
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Title or Position | OWNER, MEDICAL DIRECTOR
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Name | DR. BRUCE MARK ALBERT
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Credential | MD
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Telephone | 949-752-6300
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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 | CA
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