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General NPI Number Information
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NPI Number | 1639418015
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Entity Type | Organization
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Legal Business Name | ACCESS URGENT CARE LLC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 10440 US 1 N SUITE 101
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City | ST AUGUSTINE
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State | FL
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Zip | 32095-8459
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Country | US
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Telephone | 904-519-8895
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Fax |
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Provider Business Mailing Address
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Address Line | 10440 US 1 N SUITE 101
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City | ST AUGUSTINE
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State | FL
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Zip | 32095-8459
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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 | CO OWNER
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Name | MICHAEL HAGHIGHI
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Credential | MD
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Telephone | 904-519-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME85579
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME89960
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9359300
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME89508
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License Number State | FL
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