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General NPI Number Information
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NPI Number | 1790159325
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Entity Type | Organization
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Legal Business Name | SHIFA URGENT CARE, INC
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 03/06/2016
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Provider Practice Location Address
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Address Line | 2930 HOLBROOK ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3512
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Country | US
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Telephone | 313-265-3689
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Fax | 313-782-4783
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Provider Business Mailing Address
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Address Line | PO BOX 12009
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City | HAMTRAMCK
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State | MI
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Zip | 48212-0009
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Country | US
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Telephone | 313-265-3689
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Fax | 313-782-4783
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | KARIMAH A JOSEPH
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Credential | M.D.
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Telephone | 248-416-8289
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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 | 4301062703
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License Number State | MI
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Taxonomy #2
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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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