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General NPI Number Information
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NPI Number | 1568654002
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Entity Type | Organization
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Legal Business Name | MED SERVICE WALK-IN CLINIC P C
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 34336 HARPER AVE
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City | CLINTON TWP
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State | MI
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Zip | 48035-3704
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Country | US
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Telephone | 586-791-9173
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Fax | 586-791-9373
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Provider Business Mailing Address
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Address Line | 201 WESTSHORE DR
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City | JEROME
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State | MI
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Zip | 49249-9420
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Country | US
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Telephone | 517-529-9266
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Fax | 517-529-9277
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. JAMES C ASKINS
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Credential | M.D.
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Telephone | 586-791-9173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | JA029205
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License Number State | MI
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