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General NPI Number Information
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NPI Number | 1780119073
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Entity Type | Organization
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Legal Business Name | RURAL URGENT CARE LLC
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 837 E BATTLE ST
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City | TALLADEGA
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State | AL
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Zip | 35160
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Country | US
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Telephone | 256-649-8134
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Fax | 256-261-2905
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Provider Business Mailing Address
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Address Line | 1500 1ST AVE N UNIT # 3
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City | BIRMINGHAM
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State | AL
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Zip | 35203-1865
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REPRESENTATIVE
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Name | SAM ESKILDSEN
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Credential |
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Telephone | 205-337-0365
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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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