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General NPI Number Information
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NPI Number | 1922803113
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Entity Type | Organization
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Legal Business Name | UNIVERSAL PALLIATIVE CARE SERVICES PLLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 24315 NORTHWESTERN HWY STE 226
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City | SOUTHFIELD
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State | MI
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Zip | 48075-6815
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Country | US
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Telephone | 248-761-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 24315 NORTHWESTERN HWY ST 102B
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City | SOUTHFIELD
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State | MI
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Zip | 48075-6815
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Country | US
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Telephone | 248-761-1035
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JORAM MOGAKA
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Credential | MD
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Telephone | 248-761-1035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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