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General NPI Number Information
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NPI Number | 1598947137
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Entity Type | Organization
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Legal Business Name | WOODLAND URGENT CARE LLC
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 22341 W 8 MILE RD
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City | DETROIT
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State | MI
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Zip | 48219-1217
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Country | US
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Telephone | 313-387-8700
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Fax | 313-387-7665
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Provider Business Mailing Address
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Address Line | L-4377
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City | COLUMBUS
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State | OH
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Zip | 43260-0001
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Country | US
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Telephone | 313-387-8700
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Fax | 313-387-7665
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. FARAH IFTIKHAR
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Credential | MD
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Telephone | 313-387-8700
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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 | 4301065784
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License Number State | MI
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