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General NPI Number Information
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NPI Number | 1790189355
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Entity Type | Organization
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Legal Business Name | HEALTH FIRST URGENT CARE CLINIC
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Dates
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Enumeration Date | 10/10/2014
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 6250 HIGHWAY 64 SUITE 4
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City | OAKLAND
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State | TN
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Zip | 38060-5181
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Country | US
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Telephone | 901-235-4770
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Fax | 901-235-4771
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Provider Business Mailing Address
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Address Line | 6250 HIGHWAY 64 SUITE 4
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City | OAKLAND
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State | TN
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Zip | 38060-5181
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Country | US
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Telephone | 901-235-4770
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Fax | 901-235-4771
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Authorized Official
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Title or Position | OWNER
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Name | MR. DARYL W MILLER
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Credential |
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Telephone | 901-235-4770
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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 | TN
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Taxonomy #2
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 17269
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License Number State | TN
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