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General NPI Number Information
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NPI Number | 1760945059
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Entity Type | Organization
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Legal Business Name | TOTAL ACCESS URGENT CARE, PC
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 600 MID RIVERS MALL DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-2460
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Country | US
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Telephone | 636-224-3208
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Fax | 636-224-3208
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Provider Business Mailing Address
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Address Line | 13861 MANCHESTER RD
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City | BALLWIN
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State | MO
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Zip | 63011-4503
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Country | US
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Telephone | 636-556-0114
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Fax | 314-270-3694
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Authorized Official
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Title or Position | OWNER
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Name | TROY ADAM DINKEL
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Credential | MD
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Telephone | 636-556-0114
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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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