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General NPI Number Information
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NPI Number | 1649442674
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Entity Type | Organization
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Legal Business Name | NORTHEAST URGENT CARE CORPORATION
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 7120 FM 1960 RD E
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City | HUMBLE
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State | TX
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Zip | 77346-2702
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Country | US
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Telephone | 281-852-0655
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Fax |
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Provider Business Mailing Address
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Address Line | 9109 CREEKSTONE LAKE DR
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City | HOUSTON
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State | TX
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Zip | 77054-1003
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Country | US
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Telephone | 832-644-8368
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHIT WONG
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Credential | DO
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Telephone | 713-628-5372
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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