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General NPI Number Information
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NPI Number | 1730852518
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Entity Type | Organization
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Legal Business Name | LINCOLN URGENT CARE LLC
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 100 LINCOLN RD
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City | MIAMI BEACH
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State | FL
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Zip | 33139-2013
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Country | US
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Telephone | 410-807-8471
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Fax |
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Provider Business Mailing Address
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Address Line | 10019 REISTERSTOWN RD FL 3
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JESSIE COSTLEY
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Credential |
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Telephone | 443-839-6928
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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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