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General NPI Number Information
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NPI Number | 1235463217
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE URGENT CARE PC
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 04/21/2011
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Provider Practice Location Address
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Address Line | 23822 FORD RD
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City | DEARBORN HTS
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State | MI
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Zip | 48127-3245
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Country | US
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Telephone | 734-254-0743
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Fax |
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Provider Business Mailing Address
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Address Line | 23822 FORD RD
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3245
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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 | PRESIDENT
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Name | ALI HASSAN
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Credential | MD
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Telephone | 313-595-1399
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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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