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General NPI Number Information
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NPI Number | 1972650620
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Entity Type | Organization
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Legal Business Name | FAUQUIER URGENT CARE
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 75 W LEE HWY
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City | WARRENTON
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State | VA
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Zip | 20186-2149
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Country | US
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Telephone | 540-347-4757
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Fax | 540-347-4271
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Provider Business Mailing Address
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Address Line | 75 W LEE HWY
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City | WARRENTON
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State | VA
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Zip | 20186-2149
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Country | US
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Telephone | 540-347-4757
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Fax | 540-347-4271
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PATRICK W PALUMBO
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Credential | MD,AAPS
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Telephone | 540-347-4757
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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 | 0101044923
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License Number State | VA
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