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General NPI Number Information
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NPI Number | 1871011197
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Entity Type | Organization
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Legal Business Name | PARKWAY URGENT CARE
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 09/07/2017
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Provider Practice Location Address
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Address Line | 145 W BROADWAY
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City | PATERSON
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State | NJ
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Zip | 07522-2075
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Country | US
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Telephone | 312-933-8057
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Fax |
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Provider Business Mailing Address
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Address Line | 15 GRISTMILL LN
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City | UPPER SADDLE RIVER
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State | NJ
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Zip | 07458-1316
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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 | OWNER
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Name | DR. RUBABA HUSSAIN
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Credential | MD
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Telephone | 312-933-8057
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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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