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General NPI Number Information
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NPI Number | 1689243503
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Entity Type | Organization
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Legal Business Name | BSMH URGENT CARE VENTURES I LLC
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 6020 S STATE ROUTE 48
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City | MAINEVILLE
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State | OH
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Zip | 45039-8280
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Country | US
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Telephone | 419-996-5119
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Fax |
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Provider Business Mailing Address
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Address Line | 6020 S STATE ROUTE 48
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City | MAINEVILLE
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State | OH
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Zip | 45039-8280
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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 | COO
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Name | SEAN DARDEAU
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Credential |
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Telephone | 513-869-5017
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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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