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General NPI Number Information
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NPI Number | 1902175243
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Entity Type | Organization
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Legal Business Name | PRIMED URGENT CARE
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 7200 W COMMERCIAL BLVD SUITE 201
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City | LAUDERHILL
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State | FL
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Zip | 33319-2148
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Country | US
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Telephone | 954-533-7614
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Fax | 954-533-7714
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Provider Business Mailing Address
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Address Line | 7200 W COMMERCIAL BLVD SUITE 201
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City | LAUDERHILL
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State | FL
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Zip | 33319-2148
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Country | US
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Telephone | 954-533-7614
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Fax | 954-533-7714
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Authorized Official
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Title or Position | CEO
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Name | MRS. NILAJA BIGGS
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Credential |
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Telephone | 954-864-1724
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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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