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General NPI Number Information
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NPI Number | 1871301549
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Entity Type | Organization
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Legal Business Name | BBB URGENT CARE NORTH BROWARD LLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 4121 NW 5TH ST STE 216
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City | PLANTATION
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State | FL
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Zip | 33317-2120
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Country | US
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Telephone | 954-900-8637
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Fax |
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Provider Business Mailing Address
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Address Line | 4121 NW 5TH ST STE 216
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City | PLANTATION
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State | FL
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Zip | 33317-2120
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Country | US
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Telephone | 954-900-8637
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Fax |
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Authorized Official
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Title or Position | MEDICAL PROVIDER
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Name | JEAN MARIE G EUGENE
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Credential |
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Telephone | 954-900-8637
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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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