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NPI 1265539357

NPI 1265539357 : GLOBAL FAMILY CARE, P.L.C. : LAPEER, MI

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General NPI Number Information
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    NPI Number           |    1265539357
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    Entity Type          |    Organization 
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    Legal Business Name  |    GLOBAL FAMILY CARE, P.L.C. 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    04/14/2009
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Provider Practice Location Address
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    Address Line         |    1500 N MAIN ST 
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    City                 |    LAPEER
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    State                |    MI
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    Zip                  |    48446-1352
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    Country              |    US
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    Telephone            |    810-245-3000
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    Fax                  |    810-245-3076
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Provider Business Mailing Address
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    Address Line         |    1500 N MAIN ST 
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    City                 |    LAPEER
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    State                |    MI
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    Zip                  |    48446-1352
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    Country              |    US
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    Telephone            |    810-245-3000
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    Fax                  |    810-245-3076
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |     BAHA DAVID ESSAK 
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    Credential           |    M.D.
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    Telephone            |    810-245-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    4301059235
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    License Number State |    MI
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