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General NPI Number Information
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NPI Number | 1194017673
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Entity Type | Organization
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Legal Business Name | M15 URGENT CARE PC
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 250 N. ORTONVILLE RD SUITE C
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City | ORTONVILLE
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State | MI
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Zip | 48462-8308
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Country | US
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Telephone | 248-793-7113
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Fax | 248-793-7128
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Provider Business Mailing Address
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Address Line | 250 N. ORTONVILLE RD SUITE C
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City | ORTONVILLE
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State | MI
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Zip | 48462-8308
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Country | US
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Telephone | 248-793-7113
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Fax | 248-793-7128
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AHMED ARIF
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Credential | M.D.
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Telephone | 248-793-7113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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