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NPI 1922564657

NPI 1922564657 : HONORHEALTH URGENT CARE, LLC : ANTHEM, AZ

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General NPI Number Information
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    NPI Number           |    1922564657
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    Entity Type          |    Organization 
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    Legal Business Name  |    HONORHEALTH URGENT CARE, LLC 
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Dates
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    Enumeration Date     |    02/19/2019
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    Last Update Date     |    02/19/2019
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Provider Practice Location Address
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    Address Line         |    3648 W ANTHEM WAY BLDG A100C 
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    City                 |    ANTHEM
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    State                |    AZ
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    Zip                  |    85086-7001
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    Country              |    US
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    Telephone            |    602-434-6472
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2500 W UTOPIA RD STE 100 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85027-4172
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    Country              |    US
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    Telephone            |    623-434-6145
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RICHARD  SILVER 
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    Credential           |    
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    Telephone            |    480-587-5125
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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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