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General NPI Number Information
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NPI Number | 1720841679
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Entity Type | Organization
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Legal Business Name | URGENT CARE 360 PLLC
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 940 W STACY RD STE 110
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City | ALLEN
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State | TX
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Zip | 75013-5215
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Country | US
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Telephone | 214-547-0700
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Fax | 972-992-2428
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Provider Business Mailing Address
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Address Line | 940 W STACY RD STE 110
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City | ALLEN
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State | TX
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Zip | 75013-5215
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Country | US
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Telephone | 214-547-0700
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Fax | 972-992-2428
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHAMMED SHAKEEL UR REHMAN
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Credential | M.D
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Telephone | 214-547-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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