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General NPI Number Information
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NPI Number | 1679291942
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITALS URGENT CARE, LLC
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 960 CLAGUE RD STE 1100B
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City | WESTLAKE
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State | OH
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Zip | 44145-1590
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Country | US
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Telephone | 440-250-5366
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Fax | 440-250-5377
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Provider Business Mailing Address
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Address Line | PO BOX 772040
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City | DETROIT
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State | MI
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Zip | 48277-2040
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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, MSS, CREDENTIALING, PE
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Name | JANNA M KENNEDY
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Credential |
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Telephone | 216-844-2045
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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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