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General NPI Number Information
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NPI Number | 1700292414
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Entity Type | Organization
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Legal Business Name | BEAUMONT FAMILY URGENT CARE PLLC
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 490 IH -10 N SUITE # 300
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City | BEAUMONT
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State | TX
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Zip | 77702-1822
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Country | US
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Telephone | 409-212-9988
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Fax | 409-212-8449
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Provider Business Mailing Address
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Address Line | P O BOX 5430
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City | BEAUMONT
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State | TX
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Zip | 77726
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Country | US
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Telephone | 409-212-9988
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Fax | 409-212-8449
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Authorized Official
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Title or Position | DOCTOR
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Name | SHAHID RAFIQ
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Credential | MD
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Telephone | 409-212-9988
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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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