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General NPI Number Information
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NPI Number | 1639625411
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Entity Type | Organization
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Legal Business Name | WEEKENDS PLUS URGENT CARE LLC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 3189 HIGHWAY 45 N SUITE H
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City | COLUMBUS
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State | MS
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Zip | 39705-1251
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Country | US
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Telephone | 662-240-2975
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Fax | 662-434-4810
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Provider Business Mailing Address
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Address Line | 3189 HIGHWAY 45 N SUITE H
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City | COLUMBUS
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State | MS
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Zip | 39705-1251
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Country | US
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Telephone | 662-240-2975
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Fax | 662-434-4810
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Authorized Official
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Title or Position | FNP/OWNER
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Name | JUDY TRENARY
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Credential | FNP
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Telephone | 662-240-2975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | R850607
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License Number State | MS
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