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General NPI Number Information
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NPI Number | 1780255091
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Entity Type | Organization
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Legal Business Name | TOTAL POINT - JACKSONVILLE LLC
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 1517 E RUSK ST
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City | JACKSONVILLE
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State | TX
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Zip | 75766-5505
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Country | US
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Telephone | 903-625-9088
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Fax | 903-339-1124
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Provider Business Mailing Address
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Address Line | 7080 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77074-2085
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Country | US
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Telephone | 469-530-9220
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Fax | 469-530-9221
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUSAN VOGEL
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Credential | MD
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Telephone | 713-822-2728
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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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