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General NPI Number Information
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NPI Number | 1821934373
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Entity Type | Organization
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Legal Business Name | WALK-IN AND INTERMEDIATE CARE CLINIC LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 214 S MCCLESKEY ST STE 857
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City | BOAZ
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State | AL
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Zip | 35957-2187
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Country | US
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Telephone | 256-281-1928
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22
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City | BOAZ
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State | AL
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Zip | 35957-0022
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Country | US
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Telephone | 256-281-1928
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MARLENE TRUSLER
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Credential |
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Telephone | 256-849-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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