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General NPI Number Information
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NPI Number | 1760282826
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Entity Type | Organization
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Legal Business Name | BASIN URGENT CARE
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 300 W LONGVIEW AVE
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City | MIDLAND
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State | TX
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Zip | 79701-1907
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Country | US
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Telephone | 432-888-8211
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4382
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City | MIDLAND
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State | TX
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Zip | 79704-4382
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Country | US
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Telephone | 432-888-8211
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | CANDACE WYNNE
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Credential |
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Telephone | 432-349-9730
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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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