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General NPI Number Information
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NPI Number | 1902341860
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Entity Type | Organization
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Legal Business Name | ON DEMAND URGENT CARE GROUP, PC
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 12/15/2017
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Provider Practice Location Address
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Address Line | 1420 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2505
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Country | US
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Telephone | 215-999-1420
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Fax | 844-306-3444
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Provider Business Mailing Address
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Address Line | 6060 RIDGE AVE SUITE 100
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1657
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Country | US
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Telephone | 215-483-6600
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. GENE LEVINSTEIN
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Credential | MD
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Telephone | 215-688-8967
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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 | 634775
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License Number State | PA
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