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General NPI Number Information
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NPI Number | 1851564215
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Entity Type | Organization
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Legal Business Name | SANTA FE SPRINGS URGENT CARE
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 11460 TELEGRAPH RD
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-3142
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Country | US
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Telephone | 562-864-1000
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Fax | 562-864-2125
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Provider Business Mailing Address
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Address Line | 17165 WALNUT AVE
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City | FONTANA
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State | CA
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Zip | 92336-1526
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Country | US
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Telephone | 909-357-3465
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Fax |
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Authorized Official
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Title or Position | R.N.P.
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Name | MS. CAROL L. DAVIS
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Credential | M.S.N. / F.N.P.
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Telephone | 909-357-3465
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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 | 481425
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License Number State | CA
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