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General NPI Number Information
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NPI Number | 1881182335
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Entity Type | Organization
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Legal Business Name | URGENT CARE CURE LLC
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 10/29/2023
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Provider Practice Location Address
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Address Line | 10870 US HIGHWAY 1 N UNIT 104
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City | PONTE VEDRA
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State | FL
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Zip | 32081-7804
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Country | US
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Telephone | 904-438-2720
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Fax |
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Provider Business Mailing Address
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Address Line | 10870 US HIGHWAY 1 N UNIT 104
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City | PONTE VEDRA
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State | FL
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Zip | 32081-7804
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Country | US
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Telephone | 904-438-2720
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXEI PRYTKOV
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Credential | MD
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Telephone | 904-438-2720
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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 | 1086417338
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License Number State | FL
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