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General NPI Number Information
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NPI Number | 1831416346
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Entity Type | Organization
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Legal Business Name | ST. ANDREWS URGENT CARE, PC
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 975 SAVANNAH HWY SUITE 105
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City | CHARLESTON
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State | SC
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Zip | 29407-7859
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Country | US
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Telephone | 843-766-5878
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Fax |
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Provider Business Mailing Address
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Address Line | 4279 ROSWELL RD SUITE 102 # 259
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City | ATLANTA
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State | GA
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Zip | 30342-3769
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Country | US
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Telephone | 404-432-3595
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DOUGLAS A. DANIEL
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Credential |
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Telephone | 404-432-3595
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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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