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NPI 1730023920

NPI 1730023920 : THE KNEE PAIN CENTER PLLC : LENOX, MI

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General NPI Number Information
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    NPI Number           |    1730023920
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE KNEE PAIN CENTER PLLC 
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Dates
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    Enumeration Date     |    04/16/2026
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    Last Update Date     |    04/16/2026
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Provider Practice Location Address
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    Address Line         |    36267 26 MILE RD STE D 
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    City                 |    LENOX
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    State                |    MI
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    Zip                  |    48048-3253
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    Country              |    US
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    Telephone            |    586-600-5633
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    Fax                  |    586-600-5634
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Provider Business Mailing Address
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    Address Line         |    35455 GARFIELD RD STE 100 
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    City                 |    CLINTON TOWNSHIP
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    State                |    MI
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    Zip                  |    48035-2500
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    Country              |    US
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    Telephone            |    586-600-5633
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    Fax                  |    586-600-5634
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EDDIE F EL-YUSSIF 
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    Credential           |    
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    Telephone            |    586-600-5633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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