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General NPI Number Information
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NPI Number | 1891045563
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Entity Type | Organization
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Legal Business Name | WASHINGTON URGENT CARE, PLLC
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 57850 VAN DYKE RD SUITE 100
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City | WASHINGTON TOWNSHIP
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State | MI
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Zip | 48094-3826
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Country | US
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Telephone | 586-935-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2708 S ROCHESTER RD SUITE A
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-4577
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Country | US
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Telephone | 248-844-1500
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. FADI DEMASHKIEH
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Credential | M.D.
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Telephone | 586-935-4000
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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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