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General NPI Number Information
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NPI Number | 1790141398
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Entity Type | Organization
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Legal Business Name | GET WELL URGENT CARE MADISON HEIGHTS PLC
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 350 E 12 MILE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-2531
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Country | US
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Telephone | 248-716-8600
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Fax | 248-716-8602
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Provider Business Mailing Address
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Address Line | 350 E 12 MILE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-2531
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Country | US
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Telephone | 313-945-5450
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LENA HAMOUD
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Credential |
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Telephone | 313-717-8738
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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 | 4301084551
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License Number State | MI
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