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General NPI Number Information
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NPI Number | 1255013553
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND URGENT CARE PLLC
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 32413 MICHIGAN AVE
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City | WAYNE
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State | MI
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Zip | 48184-1424
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 32413 MICHIGAN AVE
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City | WAYNE
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State | MI
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Zip | 48184-1424
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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 | MR. EYAD JADALLAH
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Credential | NP
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Telephone | 313-575-2482
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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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