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General NPI Number Information
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NPI Number | 1073289013
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Entity Type | Organization
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Legal Business Name | GET WELL URGENT CARE MACOMB PLC
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 15945 19 MILE RD STE 102
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City | CLINTON TWP
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State | MI
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Zip | 48038-1147
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Country | US
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Telephone | 586-413-9100
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Fax | 586-413-9102
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Provider Business Mailing Address
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Address Line | 16100 19 MILE RD STE 300
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City | CLINTON TWP
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State | MI
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Zip | 48038-1148
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Country | US
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Telephone | 586-413-9100
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Fax | 586-413-9102
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Authorized Official
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Title or Position | OWNER
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Name | NIDAL HAMMOUD
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Credential | MD
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Telephone | 586-413-9100
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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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