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General NPI Number Information
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NPI Number | 1023229127
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Entity Type | Organization
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Legal Business Name | FAMILY CARE CENTER OF HAMTRAMCK PC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 3120 CARPENTER ST STE 301
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City | HAMTRAMCK
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State | MI
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Zip | 48212-9802
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Country | US
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Telephone | 313-369-1600
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Fax | 313-369-1100
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Provider Business Mailing Address
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Address Line | 88 REGENTS DR
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City | TROY
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State | MI
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Zip | 48084-5419
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Country | US
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Telephone | 313-369-1600
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Fax | 313-369-1100
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Authorized Official
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Title or Position | PRESIDENT
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Name | BHUPESH SHARMA
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Credential | MD
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Telephone | 313-369-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301071743
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License Number State | MI
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