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General NPI Number Information
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NPI Number | 1750776118
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Entity Type | Organization
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Legal Business Name | RAPID URGENT CARE, INC
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 218 E BOSTON ST
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City | COVINGTON
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State | LA
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Zip | 70433-2822
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Country | US
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Telephone | 985-674-4464
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Fax | 985-674-4404
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Provider Business Mailing Address
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Address Line | 229 SAINT JOHN LN
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City | COVINGTON
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State | LA
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Zip | 70433-3276
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Country | US
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Telephone | 866-875-9225
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Fax | 985-888-6817
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Authorized Official
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Title or Position | CEO
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Name | EDWARD JACKSON DEASE
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Credential | MD
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Telephone | 985-249-5600
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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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