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General NPI Number Information
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NPI Number | 1235908815
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Entity Type | Organization
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Legal Business Name | HAMTRAMCK CARE P.L.C
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Dates
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Enumeration Date | 12/25/2023
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 12123 CONANT ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-2718
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Country | US
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Telephone | 313-768-7044
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Fax |
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Provider Business Mailing Address
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Address Line | 43219 TUSCANY DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-1948
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Country | US
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Telephone | 313-768-7044
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER/OWNER
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Name | SAZEDA BEGUM
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Credential |
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Telephone | 313-768-7044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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