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General NPI Number Information
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NPI Number | 1669708343
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Entity Type | Organization
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Legal Business Name | BOSS URGENT CARE PLLC
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 10/30/2009
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Provider Practice Location Address
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Address Line | 7212 GB ALFORD HWY
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7661
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Country | US
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Telephone | 919-567-3139
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Fax | 919-586-0933
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-0579
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Country | US
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Telephone | 919-567-3139
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Fax | 919-586-0933
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BRENDA BUCK
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Credential |
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Telephone | 910-577-1555
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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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