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General NPI Number Information
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NPI Number | 1730699679
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Entity Type | Organization
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Legal Business Name | SOUTHERN ARIZONA URGENT CARE, LLC
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1040 S. HARRISON RD STE. 120
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City | TUCSON
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State | AZ
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Zip | 85748
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Country | US
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Telephone | 520-777-7025
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Fax | 520-347-7375
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-7396
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Fax | 615-628-6877
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Authorized Official
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Title or Position | DIRECTOR PROVIDER ENROLLMENT
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Name | KRISTY MUSIC
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Credential |
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Telephone | 877-892-9815
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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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