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General NPI Number Information
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NPI Number | 1083358782
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Entity Type | Organization
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Legal Business Name | CARE FAMILY MEDICINE CENTER PLLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 39450 W 14 MILE RD
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48390-3907
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Country | US
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Telephone | 248-301-9662
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Fax | 248-800-6588
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Provider Business Mailing Address
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Address Line | 39450 W 14 MILE RD
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48390-3907
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Country | US
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Telephone | 248-301-9662
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Fax | 248-800-6588
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MARIAM SALEH
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Credential | MD
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Telephone | 248-301-9662
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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 | 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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