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General NPI Number Information
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NPI Number | 1538961149
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Entity Type | Organization
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Legal Business Name | TRUST MD URGENT CARE PLLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 24355 FORD RD
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City | DEARBORN
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State | MI
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Zip | 48128-1129
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Country | US
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Telephone | 313-247-8064
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Fax |
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Provider Business Mailing Address
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Address Line | 24355 FORD RD
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City | DEARBORN
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State | MI
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Zip | 48128-1129
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Country | US
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Telephone | 313-247-8067
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Fax |
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | HUSSEIN GHAITH
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Credential | MD
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Telephone | 313-247-8067
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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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