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General NPI Number Information
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NPI Number | 1902932098
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Entity Type | Organization
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Legal Business Name | SOUTHSIDE HEALTH URGENT CARE, INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1430 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43207-1045
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Country | US
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Telephone | 614-542-0940
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Fax | 614-542-0941
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Provider Business Mailing Address
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Address Line | 1430 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43207-1045
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Country | US
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Telephone | 614-542-0940
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Fax | 614-542-0941
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. STEPHANIE L OWENS
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Credential |
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Telephone | 614-542-0935
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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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