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General NPI Number Information
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NPI Number | 1912381203
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Entity Type | Organization
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Legal Business Name | MEDIQ URGENT CARE PC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5718 W GATE CITY BLVD
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City | GREENSBORO
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State | NC
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Zip | 27407-7039
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Country | US
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Telephone | 336-738-1691
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Fax |
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Provider Business Mailing Address
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Address Line | 5718 W GATE CITY BLVD
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City | GREENSBORO
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State | NC
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Zip | 27407-7039
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PART OWNER
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Name | MALEKA QAYUMI
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Credential |
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Telephone | 336-842-1142
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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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