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General NPI Number Information
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NPI Number | 1982186235
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Entity Type | Organization
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Legal Business Name | URGENT CARE TRAVEL, INC
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 6700 W LATHAM ST
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City | PHOENIX
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State | AZ
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Zip | 85043-1400
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Country | US
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Telephone | 623-399-1277
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Fax |
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Provider Business Mailing Address
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Address Line | 9903 SANTA MONICA BLVD STE 4500
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1671
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Country | US
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Telephone | 310-471-3753
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Fax | 310-440-0997
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEBORAH MITCHELL
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Credential |
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Telephone | 310-471-3753
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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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