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General NPI Number Information
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NPI Number | 1528586674
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Entity Type | Organization
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Legal Business Name | HARPER WOODS URGENT CARE AND MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 09/08/2017
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Provider Practice Location Address
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Address Line | 19959 VERNIER RD STE 400
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City | HARPER WOODS
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State | MI
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Zip | 48225-1471
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Country | US
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Telephone | 313-499-1951
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Fax | 313-332-1857
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Provider Business Mailing Address
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Address Line | PO BOX 3396
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City | SOUTHFIELD
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State | MI
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Zip | 48037-3396
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Country | US
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Telephone | 313-499-1951
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Fax | 313-332-1857
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOHAMAD AL-JARRAH
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Credential | MD
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Telephone | 313-499-1951
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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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