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General NPI Number Information
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NPI Number | 1922270891
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Entity Type | Organization
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Legal Business Name | URGENT CARE OF OLYMPIA
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 3700 MARTIN WAY E STE 108
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City | OLYMPIA
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State | WA
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Zip | 98506-5052
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Country | US
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Telephone | 360-923-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 MARTIN WAY E STE 108
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City | OLYMPIA
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State | WA
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Zip | 98506-5052
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Country | US
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Telephone | 360-923-5565
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK URMANSKI
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Credential | MD
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Telephone | 360-923-5565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 11450
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 11450
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License Number State | WA
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