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General NPI Number Information
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NPI Number | 1477552149
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Entity Type | Organization
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Legal Business Name | MICHIGAN URGENT AND PRIMARY CARE
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 37595 7 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-1003
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Country | US
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Telephone | 734-542-6100
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Fax | 734-542-6102
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Provider Business Mailing Address
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Address Line | 17197 N LAUREL PARK DR SUITE 107
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City | LIVONIA
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State | MI
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Zip | 48152-2680
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Country | US
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Telephone | 734-338-8300
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Fax |
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. MOHAMMED ARSIWALA
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Credential | MD
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Telephone | 734-542-6100
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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 | 4301075100
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301065784
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License Number State | MI
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