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General NPI Number Information
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NPI Number | 1134476849
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Entity Type | Organization
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Legal Business Name | PHYSICIAN QUALITY CARE SERVICES PLLC
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 18900 W 10 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2669
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Country | US
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Telephone | 248-424-8340
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Fax | 248-424-7209
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Provider Business Mailing Address
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Address Line | 18900 W 10 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2669
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Country | US
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Telephone | 248-424-8340
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Fax | 248-424-7209
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | KMARAN F SHEIKH
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Credential | MD
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Telephone | 248-615-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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