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General NPI Number Information
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NPI Number | 1497112478
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Entity Type | Organization
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Legal Business Name | FIRST CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 15301 TIREMAN AVE STE. A
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City | DEARBORN
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State | MI
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Zip | 48126-1045
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Country | US
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Telephone | 313-590-9496
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Fax | 313-769-5082
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Provider Business Mailing Address
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Address Line | 15301 TIREMAN AVE STE. A
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City | DEARBORN
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State | MI
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Zip | 48126-1045
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Country | US
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Telephone | 313-590-9496
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Fax | 313-769-5082
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. NADIA HAMADE
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Credential | PA-C
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Telephone | 313-590-9496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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