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General NPI Number Information
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NPI Number | 1104449719
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Entity Type | Organization
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Legal Business Name | MEDICAL CARE ONE PLC
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 2539 ELLSWORTH RD
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City | YPSILANTI
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State | MI
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Zip | 48197-5619
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Country | US
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Telephone | 734-330-2800
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Fax | 734-794-3411
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Provider Business Mailing Address
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Address Line | 2539 ELLSWORTH RD
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City | YPSILANTI
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State | MI
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Zip | 48197-5619
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Country | US
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Telephone | 734-330-2800
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Fax | 734-794-3411
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Authorized Official
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Title or Position | MD
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Name | SAMER A NASRY
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Credential |
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Telephone | 248-496-6679
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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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