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General NPI Number Information
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NPI Number | 1699222497
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Entity Type | Organization
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Legal Business Name | HASLET URGENT CARE, PLLC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 2432 AVONDALE HASLET RD SUITE 100
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City | HASLET
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State | TX
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Zip | 76052-3427
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Country | US
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Telephone | 817-992-0748
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 BOURLAND RD
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City | KELLER
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State | TX
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Zip | 76248-3929
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Country | US
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Telephone | 817-209-4110
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RODOLFO A HERRERA
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Credential | M.D.
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Telephone | 817-209-4110
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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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