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General NPI Number Information
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NPI Number | 1124841127
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Entity Type | Organization
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Legal Business Name | ADVANCE HEALTH URGENT CARE PLLC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 36454 GROESBECK HWY
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City | CLINTON TWP
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State | MI
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Zip | 48035-1548
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Country | US
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Telephone | 586-519-9116
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Fax | 586-519-9117
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Provider Business Mailing Address
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Address Line | 36454 GROESBECK HWY
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City | CLINTON TWP
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State | MI
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Zip | 48035-1548
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Country | US
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Telephone | 586-519-9116
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Fax | 586-519-9117
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY M VALICE
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Credential | DO
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Telephone | 586-519-9116
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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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