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General NPI Number Information
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NPI Number | 1326904996
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Entity Type | Organization
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Legal Business Name | ALLEGIANT URGENT CARE
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1426 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-2107
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Country | US
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Telephone | 517-268-0889
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Fax |
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Provider Business Mailing Address
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Address Line | 115 HORTON ST
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City | LANSING
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State | MI
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Zip | 48912-2805
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Country | US
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Telephone | 517-268-0889
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WISAM ROBERT ZEINEH
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Credential | MSN, FNP-C
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Telephone | 517-268-0889
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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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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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