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General NPI Number Information
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NPI Number | 1831722719
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Entity Type | Organization
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Legal Business Name | HOLLY URGENT CARE PLLC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 3523 GRANGE HALL RD
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City | HOLLY
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State | MI
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Zip | 48442-1007
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Country | US
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Telephone | 248-382-5791
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Fax | 248-382-5986
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Provider Business Mailing Address
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Address Line | 74 CHATEAUX DU LAC
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City | FENTON
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State | MI
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Zip | 48430-9140
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Country | US
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Telephone | 810-813-0653
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGER
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Name | NAMEER SALMAN
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Credential |
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Telephone | 810-908-8730
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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 |
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License Number State |
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