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General NPI Number Information
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NPI Number | 1376853291
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Entity Type | Organization
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Legal Business Name | SOUTH HURON URGENT CARE CENTER PLC
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 1649 S HURON ST
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City | YPSILANTI
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State | MI
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Zip | 48197-9701
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Country | US
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Telephone | 734-480-0990
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Fax | 734-480-0955
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Provider Business Mailing Address
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Address Line | 1649 S HURON ST
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City | YPSILANTI
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State | MI
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Zip | 48197-9701
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Country | US
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Telephone | 734-480-0990
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Fax | 734-480-0955
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MRS. MARGARET B MEKAI-VEKIMA
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Credential | M.D.
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Telephone | 734-480-0990
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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 | 4301070863
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License Number State | MI
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