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General NPI Number Information
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NPI Number | 1720571227
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Entity Type | Organization
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Legal Business Name | TROY URGENT CARE WALK-IN CLINIC
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 4060 ROCHESTER RD
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City | TROY
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State | MI
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Zip | 48085-4923
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Country | US
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Telephone | 313-948-3055
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Fax |
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Provider Business Mailing Address
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Address Line | 4060 ROCHESTER RD
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City | TROY
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State | MI
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Zip | 48085-4923
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Country | US
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Telephone | 586-262-4277
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ABID ABDULLAH
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Credential |
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Telephone | 586-262-4277
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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 |
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License Number State |
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