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General NPI Number Information
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NPI Number | 1710699624
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Entity Type | Organization
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Legal Business Name | THE CARE TEAM-PRIMARY CARE PROVIDERS PLLC
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 30600 NORTHWESTERN HWY STE 245
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3171
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Country | US
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Telephone | 248-957-1999
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Fax | 888-990-0589
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Provider Business Mailing Address
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Address Line | 30600 NORTHWESTERN HWY STE 245
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3171
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Country | US
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Telephone | 248-957-1999
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Fax | 888-990-0589
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Authorized Official
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Title or Position | DIRECTOR OF PRIMARY CARE
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Name | JULIE TAYLOR MUSIOL
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Credential |
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Telephone | 734-674-9152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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