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General NPI Number Information
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NPI Number | 1922389030
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Entity Type | Organization
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Legal Business Name | URGENT CARE EMS
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 2718 FIELDCROSS LN
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City | HOUSTON
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State | TX
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Zip | 77047-7546
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Country | US
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Telephone | 832-883-4001
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Fax | 832-201-8666
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Provider Business Mailing Address
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Address Line | 2718 FIELDCROSS LN
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City | HOUSTON
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State | TX
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Zip | 77047-7546
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Country | US
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Telephone | 832-883-4001
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Fax | 832-201-8666
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ENA DENISE COWART
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Credential |
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Telephone | 832-883-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 0
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License Number State | TX
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