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General NPI Number Information
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NPI Number | 1962840728
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Entity Type | Organization
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Legal Business Name | URGENT CARE OF ALABAMA LLC
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 210 FIELDSTOWN RD SUITE 124
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City | GARDENDALE
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State | AL
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Zip | 35071-2408
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Country | US
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Telephone | 205-285-8252
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Fax | 205-285-8262
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Provider Business Mailing Address
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Address Line | 1960 GADSDEN HWY STE 108
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City | BIRMINGHAM
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State | AL
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Zip | 35235-4201
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Country | US
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Telephone | 205-655-1016
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN LASKER
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Credential |
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Telephone | 205-515-0538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 628-013
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License Number State | AL
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Taxonomy #2
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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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