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General NPI Number Information
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NPI Number | 1770968919
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Entity Type | Organization
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Legal Business Name | OUCH URGENT CARE INC
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1710 N GLOSTER ST
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City | TUPELO
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State | MS
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Zip | 38804-1216
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Country | US
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Telephone | 662-840-6824
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 N GLOSTER ST
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City | TUPELO
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State | MS
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Zip | 38804-1216
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Country | US
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Telephone | 662-840-6824
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Fax | 833-740-3625
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Authorized Official
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Title or Position | ENTERPRISE CFO
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Name | JENNIFER KATHRYN WAKEFORD
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Credential |
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Telephone | 205-901-5103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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