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General NPI Number Information
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NPI Number | 1306959374
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Entity Type | Organization
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Legal Business Name | FAMILY PRACTICE CARE PLLC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25350 KELLY RD
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City | ROSEVILLE
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State | MI
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Zip | 48066-4961
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Country | US
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Telephone | 586-773-8770
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Fax | 586-773-0133
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Provider Business Mailing Address
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Address Line | 25350 KELLY RD
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City | ROSEVILLE
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State | MI
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Zip | 48066-4961
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Country | US
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Telephone | 586-773-8770
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Fax | 586-773-0133
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHAMED ASLAM KHAN
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Credential | M.D.
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Telephone | 586-773-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | MI
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