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General NPI Number Information
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NPI Number | 1164209532
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Entity Type | Organization
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Legal Business Name | MD URGENT CARE BAY CITY WALK IN PC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 3900 STATE STREET RD STE 110
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City | BAY CITY
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State | MI
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Zip | 48706-2164
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Country | US
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Telephone | 734-658-2956
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 STATE STREET RD STE 110
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City | BAY CITY
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State | MI
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Zip | 48706-2164
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAHROZ ADIL
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Credential | MD
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Telephone | 734-658-2956
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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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