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General NPI Number Information
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NPI Number | 1780997445
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Entity Type | Organization
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Legal Business Name | URGENT CARE OF STERLING HEIGHTS PC
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 37771 SCHOENHERR RD SUITE 103
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-2302
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Country | US
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Telephone | 586-978-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 37771 SCHOENHERR RD SUITE 102
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-2302
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Country | US
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Telephone | 586-978-1300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAVEED SIDDIQUE
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Credential | M.D.
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Telephone | 586-978-1300
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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 | 4301070795
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License Number State | MI
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