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General NPI Number Information
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NPI Number | 1134694474
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Entity Type | Organization
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Legal Business Name | QUAD HEALTH SOLUTIONS PC
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 24748 W WARREN ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2109
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Country | US
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Telephone | 313-278-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 32000 NORTHWESTERN HWY STE 240
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-1569
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Country | US
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Telephone | 248-536-0786
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Fax |
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Authorized Official
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Title or Position | GROUP DIRECTOR
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Name | LORI SCHULTZ
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Credential |
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Telephone | 248-536-0786
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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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