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General NPI Number Information
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NPI Number | 1821268004
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Entity Type | Organization
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Legal Business Name | RAPIDCARE URGENT CARE
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 4622 40TH AVE S
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City | FARGO
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State | ND
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Zip | 58104-4394
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Country | US
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Telephone | 701-232-6211
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Fax | 701-364-9346
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Provider Business Mailing Address
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Address Line | 1517 32ND AVE S
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City | FARGO
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State | ND
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Zip | 58103-5905
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Country | US
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Telephone | 701-232-6211
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Fax | 701-364-9346
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Authorized Official
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Title or Position | OWNER
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Name | RODNEY JOHN LEE
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Credential | MD
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Telephone | 701-232-6211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7790
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License Number State | ND
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