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General NPI Number Information
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NPI Number | 1538452560
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Entity Type | Organization
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Legal Business Name | TAYLOR ROMULUS URGENT CARE PC
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 27260 EUREKA RD
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City | TAYLOR
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State | MI
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Zip | 48180-4845
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Country | US
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Telephone | 313-485-4513
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Fax |
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Provider Business Mailing Address
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Address Line | 27260 EUREKA RD
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City | TAYLOR
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State | MI
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Zip | 48180-4845
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Country | US
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Telephone | 313-485-4513
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAA HUSSEINALI
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Credential | MD
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Telephone | 313-485-4513
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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 | 4301088433
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License Number State | MI
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