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General NPI Number Information
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NPI Number | 1659145506
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Entity Type | Organization
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Legal Business Name | EPIC CARE CENTERS INC
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 4420 E DAVISON ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-1744
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Country | US
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Telephone | 313-752-2070
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Fax | 248-581-8839
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Provider Business Mailing Address
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Address Line | 18000 W 9 MILE RD STE 200
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GREG NAMAN
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Credential | MD
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Telephone | 248-336-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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