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General NPI Number Information
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NPI Number | 1790233781
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Entity Type | Organization
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Legal Business Name | CLICKCARE, LLC
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 2202 LIGGET AVE
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98433-2011
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Country | US
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Telephone | 623-824-5624
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 331400
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98433-0900
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Country | US
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Telephone | 623-824-5624
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE SCHWARZ
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Credential | ARNP
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Telephone | 623-824-5624
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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 | AP60417504
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License Number State | WA
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