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General NPI Number Information
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NPI Number | 1700412004
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Entity Type | Organization
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Legal Business Name | EMED URGENT CARE LLC
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Dates
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Enumeration Date | 03/18/2020
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 2624 ATLANTIC BLVD STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3633
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Country | US
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Telephone | 904-513-3240
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Fax | 904-379-2911
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Provider Business Mailing Address
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Address Line | 2624 ATLANTIC BLVD STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3633
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Country | US
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Telephone | 904-513-3240
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Fax | 904-379-2911
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | AURORA PEREZ
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Credential |
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Telephone | 904-513-3240
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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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