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General NPI Number Information
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NPI Number | 1760713796
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Entity Type | Organization
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Legal Business Name | PEDIATRIC AND ADULT PROMPT CARE LLC
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 614 W BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40202-2212
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Country | US
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Telephone | 502-587-0394
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Fax | 502-587-0390
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Provider Business Mailing Address
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Address Line | 614 W BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40202-2212
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Country | US
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Telephone | 502-587-0394
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Fax | 502-587-0390
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Authorized Official
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Title or Position | CEO
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Name | AKASHA HAQ
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Credential | MD
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Telephone | 502-587-0394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | KY
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