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General NPI Number Information
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NPI Number | 1932167442
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Entity Type | Organization
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Legal Business Name | LAREDO URGENT CARE
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7807 MCPHERSON AVE STE 2E
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City | LAREDO
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State | TX
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Zip | 78045-2801
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Country | US
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Telephone | 956-726-0501
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Fax | 956-726-6361
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Provider Business Mailing Address
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Address Line | 7807 MCPHERSON AVE STE 2E
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City | LAREDO
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State | TX
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Zip | 78045-2801
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Country | US
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Telephone | 956-726-0501
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Fax | 956-726-6361
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Authorized Official
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Title or Position | OWNER
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Name | DR. OSCAR NEWTON LIGHTNER
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Credential | M. D.
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Telephone | 956-726-0501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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