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General NPI Number Information
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NPI Number | 1770358871
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Entity Type | Organization
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Legal Business Name | CHAMBANA URGENT CARE AND WALK IN CLINIC
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1907 W SPRINGFIELD AVE STE B
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City | CHAMPAIGN
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State | IL
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Zip | 61821-3098
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Country | US
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Telephone | 872-346-8918
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Fax | 217-328-6054
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Provider Business Mailing Address
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Address Line | 1907 W SPRINGFIELD AVE STE B
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City | CHAMPAIGN
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State | IL
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Zip | 61821-3098
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Country | US
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Telephone | 872-346-8918
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Fax | 217-328-6054
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Authorized Official
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Title or Position | SUPERVISOR
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Name | ARSHAD JAVED
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Credential |
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Telephone | 872-346-8918
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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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