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General NPI Number Information
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NPI Number | 1851623441
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Entity Type | Organization
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Legal Business Name | TOTAL URGENT CARE
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 5502 39TH ST SUITE 101
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City | GROVES
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State | TX
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Zip | 77619-2929
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Country | US
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Telephone | 409-984-7643
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Fax | 409-984-7641
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Provider Business Mailing Address
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Address Line | 7777 HENNESSY BLVD STE 1004-154
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City | BATON ROUGE
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State | LA
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Zip | 70808-4300
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Country | US
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Telephone | 409-984-7643
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROBERT BOWLING
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Credential | M.D.
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Telephone | 409-984-7643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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