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General NPI Number Information
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NPI Number | 1801013438
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Entity Type | Organization
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Legal Business Name | URGENT & OCCUPATIONAL NEUROLOGICAL CARE SPECIALIST, INC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 402 W BIJOU ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-1309
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Country | US
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Telephone | 719-577-9855
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Fax | 719-577-4088
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Provider Business Mailing Address
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Address Line | PO BOX 38429
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City | COLORADO SPRINGS
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State | CO
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Zip | 80937-8429
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Country | US
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Telephone | 719-577-9855
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Fax | 719-577-4088
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | MRS. MARY SANCHEZ
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Credential | M.A.
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Telephone | 719-577-9855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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