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General NPI Number Information
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NPI Number | 1164381992
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Entity Type | Organization
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Legal Business Name | ADVANCED URGENT CARE CENTER PLLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 1340 S COMMERCE RD STE B
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City | WALLED LAKE
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State | MI
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Zip | 48390-3010
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Country | US
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Telephone | 248-438-6600
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Fax | 248-313-9210
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Provider Business Mailing Address
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Address Line | 1340 S COMMERCE RD STE B
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City | WALLED LAKE
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State | MI
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Zip | 48390-3010
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Country | US
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Telephone | 248-438-6600
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Fax | 248-313-9210
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Authorized Official
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Title or Position | OWNER
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Name | TALEB HAGE
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Credential | D.O.
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Telephone | 248-438-6600
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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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