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General NPI Number Information
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NPI Number | 1639575780
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Entity Type | Organization
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Legal Business Name | FIRST STOP URGENT CARE, LLC
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 1230 3RD ST S
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-6410
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Country | US
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Telephone | 904-265-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 4655 SALISBURY RD SUITE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0902
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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 | OWNER
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Name | DR. ALEXIS VAZQUEZ
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Credential | DO
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Telephone | 305-607-9446
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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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