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General NPI Number Information
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NPI Number | 1952725269
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Entity Type | Organization
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Legal Business Name | BEATLINE URGENT CARE
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 5107 BEATLINE RD STE 300
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City | LONG BEACH
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State | MS
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Zip | 39560-3874
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Country | US
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Telephone | 228-424-0806
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1248
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City | OCEAN SPRINGS
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State | MS
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Zip | 39566-1248
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RONNIE ALI
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Credential | D.O.
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Telephone | 228-424-0806
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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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