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General NPI Number Information
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NPI Number | 1225912678
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Entity Type | Organization
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Legal Business Name | DOWNRIVER WOUND SOLUTIONS PLLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 24837 MICHIGAN AVE STE 200
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City | DEARBORN
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State | MI
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Zip | 48124-1712
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Country | US
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Telephone | 734-352-9874
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Fax | 313-731-1754
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Provider Business Mailing Address
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Address Line | 24837 MICHIGAN AVE STE 200
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City | DEARBORN
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State | MI
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Zip | 48124-1712
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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 | OWNER
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Name | ABE AL HAGE
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Credential | OWNER
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Telephone | 313-467-8030
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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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