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General NPI Number Information
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NPI Number | 1144193889
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Entity Type | Organization
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Legal Business Name | SKIN CARE PHYSICIANS PC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 44000 W TWELVE MILE RD STE 103
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City | NOVI
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State | MI
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Zip | 48377-2646
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Country | US
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Telephone | 248-946-4787
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Fax | 248-852-1919
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Provider Business Mailing Address
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Address Line | 6632 TELEGRAPH RD # 348
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City | BLOOMFIELD
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State | MI
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Zip | 48301-3012
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Country | US
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Telephone | 248-852-1900
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Fax | 248-852-1919
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | SARA ABROU
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Credential |
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Telephone | 248-520-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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