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General NPI Number Information
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NPI Number | 1659787133
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Entity Type | Organization
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Legal Business Name | URGENT MD, LLC
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 3889 LEBANON PIKE
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City | HERMITAGE
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State | TN
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Zip | 37076-2009
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Country | US
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Telephone | 615-555-5555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 707
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City | HERMITAGE
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State | TN
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Zip | 37076-0707
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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 | MAJORITY OWNER
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Name | DR. W.W. SCOTT DUBE
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Credential | M.D.
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Telephone | 615-604-3275
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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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