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General NPI Number Information
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NPI Number | 1760621429
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Entity Type | Organization
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Legal Business Name | AIM XPRESS MEDICAL CARE LLC
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 11115 NEW HALLS FERRY RD SUITE 201
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City | FLORISSANT
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State | MO
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Zip | 63033-7613
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Country | US
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Telephone | 314-283-3393
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Fax |
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Provider Business Mailing Address
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Address Line | 11115 NEW HALLS FERRY RD SUITE 201
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City | FLORISSANT
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State | MO
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Zip | 63033-7613
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Country | US
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Telephone | 314-743-3744
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. SYED T HAIDER
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Credential |
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Telephone | 314-743-3744
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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 | B00300898
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License Number State | MO
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