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General NPI Number Information
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NPI Number | 1740839349
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Entity Type | Organization
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Legal Business Name | URGENTNP, LLC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 733 TERRANOVA AVE
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City | WINTER HAVEN
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State | FL
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Zip | 33884-3411
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Country | US
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Telephone | 863-221-5566
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Fax | 863-884-1984
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Provider Business Mailing Address
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Address Line | PO BOX 1435
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City | WINTER HAVEN
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State | FL
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Zip | 33882-1435
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Country | US
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Telephone | 863-221-5566
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Fax | 863-884-1984
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Authorized Official
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Title or Position | PRESIDENT
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Name | NACRESHA NICOLE RICHARDSON
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Credential | DNP, APRN, FNP-C
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Telephone | 863-288-1709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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