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General NPI Number Information
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NPI Number | 1972098895
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Entity Type | Organization
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Legal Business Name | SOMERSET WALK IN CLINIC PLLC
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 1500 W BIG BEAVER RD STE 104
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City | TROY
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State | MI
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Zip | 48084-3522
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Country | US
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Telephone | 248-649-4444
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Fax | 248-649-4445
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Provider Business Mailing Address
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Address Line | 1500 W BIG BEAVER RD STE 104
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City | TROY
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State | MI
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Zip | 48084-3522
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Country | US
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Telephone | 248-649-4444
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Fax | 248-649-4445
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CATHY NADDAF
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Credential |
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Telephone | 877-488-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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