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General NPI Number Information
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NPI Number | 1669603577
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Entity Type | Organization
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Legal Business Name | SPECTRUM HEALTH URGENT CARE
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 2332 ALPINE AVE NW
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City | GRAND RAPIDS
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State | MI
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Zip | 49544-1955
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Country | US
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Telephone | 616-391-6220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2469
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City | GRAND RAPIDS
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State | MI
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Zip | 49501-2469
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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 | DIRECTOR
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Name | BRAD SHER
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Credential |
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Telephone | 616-486-6653
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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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