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General NPI Number Information
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NPI Number | 1023349578
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Entity Type | Organization
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Legal Business Name | HEALTH CARE MEDICAL CENTER PC
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 17141 HAYES ST
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City | DETROIT
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State | MI
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Zip | 48205-3559
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Country | US
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Telephone | 313-245-1700
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Fax | 313-245-1701
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Provider Business Mailing Address
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Address Line | 17141 HAYES ST
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City | DETROIT
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State | MI
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Zip | 48205-3559
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Country | US
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Telephone | 313-245-1700
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Fax | 313-245-1701
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN SINGLETON
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Credential |
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Telephone | 313-245-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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