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General NPI Number Information
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NPI Number | 1619825155
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Entity Type | Organization
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Legal Business Name | QUADCARE MOBILE UNIT (URGENT CARE)
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 28211 SOUTHFIELD RD UNIT 760060
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-7008
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Country | US
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Telephone | 313-785-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 28211 SOUTHFIELD RD UNIT 760060
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-7008
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Country | US
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Telephone | 313-785-8685
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Fax |
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Authorized Official
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Title or Position | CO CHAIRPERSON
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Name | DR. CYRIL DAVIS
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Credential | DNP, PMHNP-BC
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Telephone | 313-785-8685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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