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General NPI Number Information
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NPI Number | 1972038503
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Entity Type | Organization
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Legal Business Name | JASPER COUNTY URGENT CARE PLLC
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 494 SPRINGHILL ST SUITE 100
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City | JASPER
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State | TX
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Zip | 75951-4922
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Country | US
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Telephone | 409-224-3586
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Fax | 409-224-3637
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Provider Business Mailing Address
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Address Line | 494 SPRINGHILL ST SUITE 100
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City | JASPER
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State | TX
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Zip | 75951-4922
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Country | US
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Telephone | 409-224-3586
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Fax | 409-224-3637
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JACKLYN ROBINSON
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Credential |
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Telephone | 409-550-4198
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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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