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General NPI Number Information
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NPI Number | 1972024388
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Entity Type | Organization
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Legal Business Name | FAMILY URGENT CARE INC
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 103 N BROOKHURST ST STE 103
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City | ANAHEIM
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State | CA
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Zip | 92801-5605
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Country | US
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Telephone | 657-217-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 103 N BROOKHURST ST STE 103
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City | ANAHEIM
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State | CA
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Zip | 92801-5605
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Country | US
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Telephone | 657-217-1913
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANCE
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Name | KILANI SUHEIR
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Credential |
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Telephone | 714-610-2584
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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 | A48947
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License Number State | CA
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