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General NPI Number Information
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NPI Number | 1699153197
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Entity Type | Organization
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Legal Business Name | ARIZONA URGENT CARE
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 1641 W GLENDALE AVE
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City | PHOENIX
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State | AZ
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Zip | 85021-8878
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Country | US
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Telephone | 480-213-9951
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 E SANDPIPER DR
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City | TEMPE
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State | AZ
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Zip | 85283-2022
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Country | US
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Telephone | 480-213-9951
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Fax | 480-383-6171
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SHAWN TOLOUI
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Credential |
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Telephone | 480-213-9951
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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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