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General NPI Number Information
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NPI Number | 1477715324
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Entity Type | Organization
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Legal Business Name | HAMTRAMCK WALK-IN CLINIC
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 8544 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3736
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Country | US
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Telephone | 313-365-8602
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Fax | 313-365-8605
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Provider Business Mailing Address
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Address Line | 8544 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3736
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Country | US
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Telephone | 313-365-8602
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Fax | 313-365-8605
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Authorized Official
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Title or Position | MEDICAL DIRECTER
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Name | DR. RAGHDA CHWIKANI
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Credential | M.D.
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Telephone | 31336586602
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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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