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General NPI Number Information
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NPI Number | 1689973224
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Entity Type | Organization
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Legal Business Name | URGENT PRIMARY CARE, LLC
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 10199 CLEARY BLVD SUITE 10
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City | PLANTATION
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State | FL
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Zip | 33324-1029
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Country | US
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Telephone | 954-618-6580
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Fax |
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Provider Business Mailing Address
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Address Line | 2881 E OAKLAND PARK BLVD SUITE 115
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1813
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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 | PRESIDENT
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Name | DR. JOHN I HALPERN
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Credential | D.O.
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Telephone | 954-915-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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