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General NPI Number Information
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NPI Number | 1821579939
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL URGENT CARE & THE RIZALINDA WELLNESS CENTER
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 17350 SE 109TH TERRACE RD UNIT 5
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8924
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Country | US
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Telephone | 352-391-5200
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Fax | 352-391-5903
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Provider Business Mailing Address
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Address Line | 5454 SE 34TH ST
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City | OCALA
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State | FL
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Zip | 34480-1422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON REYES
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Credential |
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Telephone | 352-239-3346
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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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