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General NPI Number Information
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NPI Number | 1861791998
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Entity Type | Organization
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Legal Business Name | BRIGHTON URGENT CARE PC
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 11/21/2012
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Provider Practice Location Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 120
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 810-844-0400
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Fax | 810-844-0804
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Provider Business Mailing Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 120
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 810-844-0400
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Fax | 810-844-0804
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MOHAMMED A ARSIWALA
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Credential | MD
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Telephone | 810-844-0400
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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 | MI
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