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General NPI Number Information
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NPI Number | 1811278716
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Entity Type | Organization
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Legal Business Name | SOUTHFIELD CITY URGENT CARE PC
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 23832 SOUTHFIELD RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-8017
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Country | US
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Telephone | 248-569-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 23832 SOUTHFIELD RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-8017
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Country | US
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Telephone | 248-569-2600
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | LENA HAMOUD
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Credential |
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Telephone | 248-569-2600
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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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