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General NPI Number Information
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NPI Number | 1750507158
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Entity Type | Organization
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Legal Business Name | FAMILY URGENT CARE PLLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 17014 W BELL RD SUITE 100
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City | SURPRISE
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State | AZ
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Zip | 85374
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Country | US
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Telephone | 623-214-9188
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Fax | 623-214-9836
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Provider Business Mailing Address
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Address Line | 17014 W BELL RD SUITE 100
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City | SURPRISE
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State | AZ
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Zip | 85374
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Country | US
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Telephone | 623-214-9188
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Fax | 623-214-9836
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Authorized Official
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Title or Position | OWNER
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Name | LE H VU
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Credential | MD
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Telephone | 623-214-9188
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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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