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General NPI Number Information
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NPI Number | 1942410568
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Entity Type | Organization
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Legal Business Name | AAA URGENT CARE CENTER, LLC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 835 NORTH EXPRESSWAY 83
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-542-0300
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Fax | 956-542-0316
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Provider Business Mailing Address
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Address Line | 1100 N EXPRESSWAY 83, STE 3
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-504-3200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IGOR KOZLIK
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Credential |
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Telephone | 956-504-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | H2244
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License Number State | TX
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