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General NPI Number Information
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NPI Number | 1982226460
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Entity Type | Organization
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Legal Business Name | EASTVALE URGENT CARE INC
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Dates
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Enumeration Date | 05/07/2020
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 14252 SCHLEISMAN RD
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City | EASTVALE
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State | CA
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Zip | 92880
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Country | US
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Telephone | 951-549-0900
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Fax | 951-278-2848
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Provider Business Mailing Address
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Address Line | 14252 SCHLEISMAN RD
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City | EASTVALE
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State | CA
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Zip | 92880
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Country | US
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Telephone | 951-549-0900
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Fax | 951-278-2848
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. NASER W AZAR
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Credential | MD
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Telephone | 951-549-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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