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Organization
INDEPENDENCE URGENT CARE LLC
Active
Organization
INDEPENDENCE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHAR BRIJAWI MD (MEDICAL DIRECTOR)
(859) 363-3330
Entity
Organization
Contact information
Practice address
2025 DECLARATION DRIVE, INDEPENDENCE, KY 41051
(859) 363-3330
Mailing address
2025 DECLARATION DRIVE, INDEPENDENCE, KY 41051
(859) 363-3330
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
0726566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100091380
—
KY
Enumeration date
04/29/2009
Last updated
04/07/2010
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