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NPI 1679055925

NPI 1679055925 : URGENT CARE TRAVEL, INC : LAREDO, TX

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General NPI Number Information
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    NPI Number           |    1679055925
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    Entity Type          |    Organization 
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    Legal Business Name  |    URGENT CARE TRAVEL, INC 
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Dates
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    Enumeration Date     |    09/04/2018
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    Last Update Date     |    02/04/2020
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Provider Practice Location Address
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    Address Line         |    1011 BELTWAY PKWY STE 2 
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    City                 |    LAREDO
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    State                |    TX
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    Zip                  |    78045-3649
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    Country              |    US
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    Telephone            |    956-704-7754
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    Fax                  |    956-435-0204
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Provider Business Mailing Address
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    Address Line         |    9903 SANTA MONICA BLVD STE 4500 
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    City                 |    BEVERLY HILLS
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    State                |    CA
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    Zip                  |    90212-1671
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    Country              |    US
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    Telephone            |    310-471-3753
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    Fax                  |    310-440-0997
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     DEBORAH  MITCHELL 
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    Credential           |    
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    Telephone            |    310-471-3753
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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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